Hemophilia Outreach Center

LBN: Hemophilia Outreach Of Wisconsin, Inc.
Hemophilia Outreach Center is an health care organization with primary practice located at 2060 Bellevue St , Green Bay WI 54311-5622. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Suppliers / Non-Pharmacy Dispensing Site. Allopathic & Osteopathic Physicians / Hematology is the primary health care specialty. Hemophilia Outreach Of Wisconsin, Inc. can be contacted via phone (920) 965-0606, or through Buxton, Jamison via phone (920) 965-0606.

Contact Information

Primary practice address
2060 Bellevue St Green Bay WI 54311-5622
Phone: (920) 965-0606
Fax: (920) 965-0607
Website:
Map and Directions
Authorized official contact:
Name: Buxton, Jamison
Phone: (920) 965-0606

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 40681 Wisconsin
Suppliers / Non-Pharmacy Dispensing Site 332900000X 5123170 Wisconsin

Profile Details

NPI number 1851390686
LBN Legal business name Hemophilia Outreach Of Wisconsin, Inc.
DBA Doing business as Hemophilia Outreach Center
Authorized official Buxton, Jamison
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 1st, 2022 - about 3 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 1851390686 NPPES
Wisconsin Other 5123170 NCPDP NUMBER
Wisconsin MEDICAID 32850600 NCPDP NUMBER

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