Creative Care Options Fdl County

LBN: Lakeland Care Inc
Creative Care Options Fdl County is an health care organization with primary practice located at N6654 Rolling Meadows Dr , Fond Du Lac WI 54937-9471. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Lakeland Care Inc can be contacted via phone (920) 906-5100, or through Mickle, Kim M via phone (920) 906-5100.

Contact Information

Primary practice address
N6654 Rolling Meadows Dr Fond Du Lac WI 54937-9471
Phone: (920) 906-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mickle, Kim M
Phone: (920) 906-5100

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1366563314
LBN Legal business name Lakeland Care Inc
DBA Doing business as Creative Care Options Fdl County
Authorized official Mickle, Kim M
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jan 4th, 2017 - about 9 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 1366563314 NPPES
Wisconsin MEDICAID 69105530
Wisconsin MEDICAID 69005500
Wisconsin MEDICAID 69005530
Wisconsin MEDICAID 69205530

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