Community Care Of Portage County

LBN: Community Care Of Portage County
Community Care Of Portage County is an health care organization with primary practice located at 817 Whiting Ave , Stevens Point WI 54481-5246. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Community Care Of Portage County can be contacted via phone (715) 345-5968, or through Canales, James via phone (715) 345-5800.

Contact Information

Primary practice address
817 Whiting Ave Stevens Point WI 54481-5246
Phone: (715) 345-5968
Fax: (715) 345-5725
Website:
Map and Directions
Authorized official contact:
Name: Canales, James
Phone: (715) 345-5800

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1295853059
LBN Legal business name Community Care Of Portage County
DBA Doing business as
Authorized official Canales, James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295853059 NPPES
Wisconsin MEDICAID 69005700

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