Family Services Of Northeast Wi

LBN: Family Services Of Northeast Wi
Family Services Of Northeast Wi is an health care organization with primary practice located at 1822 Riverside Dr , Green Bay WI 54301-2317. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Family Services Of Northeast Wi can be contacted via phone (920) 436-4416, or through Martin, Thomas E via phone (920) 436-6800.

Contact Information

Primary practice address
1822 Riverside Dr Green Bay WI 54301-2317
Phone: (920) 436-4416
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Thomas E
Phone: (920) 436-6800

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1447423850
LBN Legal business name Family Services Of Northeast Wi
DBA Doing business as
Authorized official Martin, Thomas E
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2008
Last updated Apr 7th, 2008 - about 18 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 1447423850 NPPES
Wisconsin MEDICAID 44018500

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