South Center Medical Group Ltd

LBN: South Center Medical Group Ltd
South Center Medical Group Ltd is an health care organization with primary practice located at 3201 S 16Th St Room 1000, Milwaukee WI 53215-4537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. South Center Medical Group Ltd can be contacted via phone (414) 645-4240, or through Chung, William W via phone (414) 645-4240.

Contact Information

Primary practice address
3201 S 16Th St Room 1000 Milwaukee WI 53215-4537
Phone: (414) 645-4240
Fax: (414) 645-8240
Website:
Map and Directions
Authorized official contact:
Name: Chung, William W Doctor of Medicine (MD)
Phone: (414) 645-4240

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Wisconsin

Profile Details

NPI number 1508856030
LBN Legal business name South Center Medical Group Ltd
DBA Doing business as
Authorized official Chung, William W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508856030 NPPES
Wisconsin MEDICAID 32734300

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