Innovative Wisconsin, Llc

LBN: Innovative Wisconsin, Llc
Innovative Wisconsin, Llc is an health care organization with primary practice located at 445 S Madison St , Green Bay WI 54301-4101. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Innovative Wisconsin, Llc can be contacted via phone (920) 431-0962, or through Ray, Drue via phone (828) 684-8441.

Contact Information

Primary practice address
445 S Madison St Green Bay WI 54301-4101
Phone: (920) 431-0962
Fax: (920) 884-1967
Website:
Map and Directions
Authorized official contact:
Name: Ray, Drue
Phone: (828) 684-8441

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Wisconsin

Profile Details

NPI number 1871972349
LBN Legal business name Innovative Wisconsin, Llc
DBA Doing business as
Authorized official Ray, Drue
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2015
Last updated May 29th, 2015 - about 11 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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