Green Valley Enterprises, Inc.

LBN: Green Valley Enterprises, Inc.
Green Valley Enterprises, Inc. is an health care organization with primary practice located at 1223 Madison St , Beaver Dam WI 53916-2629. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Green Valley Enterprises, Inc. can be contacted via phone (920) 887-4282, or through Knudson, Jeanine via phone (920) 887-4282.

Contact Information

Primary practice address
1223 Madison St Beaver Dam WI 53916-2629
Phone: (920) 887-4282
Fax: (920) 887-4292
Website:
Map and Directions
Authorized official contact:
Name: Knudson, Jeanine
Phone: (920) 887-4282

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 1387-800 Wisconsin

Profile Details

NPI number 1891965356
LBN Legal business name Green Valley Enterprises, Inc.
DBA Doing business as
Authorized official Knudson, Jeanine
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Mar 11th, 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 1891965356 NPPES
Wisconsin MEDICAID 41421000

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