Vibrant Health Family Clinics
LBN: Western Wisconsin Medical Associates
Vibrant Health Family Clinics is an health care organization with primary practice located at 1687 E Division St , River Falls WI 54022-1571. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Western Wisconsin Medical Associates can be contacted via phone (715) 425-6701, or through Lijewski, Kerith W via phone (715) 425-6701.
Contact Information
Primary practice address
1687 E Division St
River Falls WI 54022-1571
Phone: (715) 425-6701
Fax: (715) 426-3994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1255324752 |
|---|---|
| LBN Legal business name | Western Wisconsin Medical Associates |
| DBA Doing business as | Vibrant Health Family Clinics |
| Authorized official | Lijewski, Kerith W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Aug 14th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255324752 | NPPES |
| Wisconsin | MEDICAID | 32748700 |
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