La Crosse County Cmo

LBN: La Crosse County Cmo
La Crosse County Cmo is an health care organization with primary practice located at 1407 Saint Andrew St Ste 100 , La Crosse WI 54603-2378. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. La Crosse County Cmo can be contacted via phone (608) 785-6266, or through Killeen, Patrick via phone (608) 785-6062.

Contact Information

Primary practice address
1407 Saint Andrew St Ste 100 La Crosse WI 54603-2378
Phone: (608) 785-6266
Fax: (608) 785-6315
Website:
Map and Directions
Authorized official contact:
Name: Killeen, Patrick
Phone: (608) 785-6062

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1225160492
LBN Legal business name La Crosse County Cmo
DBA Doing business as
Authorized official Killeen, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225160492 NPPES
Wisconsin MEDICAID 69005600

Popular Providers