Family Services Of Southern Wisconsin And Northern Illinois

LBN: Family Services Of Southern Wisconsin And Northern Illinois
Family Services Of Southern Wisconsin And Northern Illinois is an health care organization with primary practice located at 423 Bluff St , Beloit WI 53511-6115. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Family Services Of Southern Wisconsin And Northern Illinois can be contacted via phone (608) 365-1244, or through Fruin, Jennifer L. via phone (608) 365-1244.

Contact Information

Primary practice address
423 Bluff St Beloit WI 53511-6115
Phone: (608) 365-1244
Fax: (608) 365-4097
Website:
Map and Directions
Authorized official contact:
Name: Fruin, Jennifer L. MSW
Phone: (608) 365-1244

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1093869505
LBN Legal business name Family Services Of Southern Wisconsin And Northern Illinois
DBA Doing business as
Authorized official Fruin, Jennifer L. MSW
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 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 1093869505 NPPES
Wisconsin MEDICAID 42117900

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