Impacthealth
LBN: Impacthealth
Impacthealth is an health care organization with primary practice located at 3219 N 51St Blvd , Milwaukee WI 53216-3235. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Impacthealth can be contacted via phone (414) 771-0543, or through Johnson-Towers, Yvette via phone (414) 771-0453.
Contact Information
Primary practice address
3219 N 51St Blvd
Milwaukee WI 53216-3235
Phone: (414) 771-0543
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 101528-30 | Wisconsin |
Profile Details
| NPI number | 1952709206 |
|---|---|
| LBN Legal business name | Impacthealth |
| DBA Doing business as | |
| Authorized official | Johnson-Towers, Yvette MSN, APRN |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2014 |
| Last updated | Dec 18th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952709206 | NPPES |
| Wisconsin | MEDICAID | 1073805255 | |
| Wisconsin | MEDICAID | 1104264001 |
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