Janesville Community Support Program

LBN: Janesville Community Support Program
Janesville Community Support Program is an health care organization with primary practice located at 35 S Main St , Janesville WI 53545-3922. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Janesville Community Support Program can be contacted via phone (608) 757-5566, or through Jones, Michael B via phone (608) 757-5204.

Contact Information

Primary practice address
35 S Main St Janesville WI 53545-3922
Phone: (608) 757-5566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Michael B
Phone: (608) 757-5204

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1407029879
LBN Legal business name Janesville Community Support Program
DBA Doing business as
Authorized official Jones, Michael B
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 2008 - about 17 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 1407029879 NPPES
Wisconsin MEDICAID 43420100

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