State Medicaid

LBN: State Medicaid
State Medicaid is an health care organization with primary practice located at 824 Lothe St , Sun Prairie WI 53590-2710. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. State Medicaid can be contacted via phone (608) 334-0900, or through Remus, Janice via phone (608) 848-7745.

Contact Information

Primary practice address
824 Lothe St Sun Prairie WI 53590-2710
Phone: (608) 334-0900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Remus, Janice Registered Nurse (RN)
Phone: (608) 848-7745

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X Wisconsin

Profile Details

NPI number 1891898219
LBN Legal business name State Medicaid
DBA Doing business as
Authorized official Remus, Janice Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
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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