MY HEALTH CLINIC


Address: 6300 N 76th St, Milwaukee, WI 53218-1208
Phone: 4142481238

MY HEALTH CLINIC (NPI# 1346882693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346882693
Entity Type Organization
Organization Name MY HEALTH CLINIC
Practice Address 6300 N 76th St
Milwaukee
WI 53218-1208
Mailing Address S76w20310 Hillendale Dr
Muskego
WI 53150-9526
Practice Telephone 4142481238
Mailing Telephone 4142481238
Mailing Fax Number 4144486848
Enumeration Date 2019-10-08
Last Update Date 2019-10-08
Authorized Official Name MRS. ELSIE ELAHI (ADMINISTRATOR)
Authorized Official Telephone 4142481238
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 1023562758 05
WI 1861946386 05
WI 1457666315 05

Office Location

Street Address 6300 N 76TH ST
City MILWAUKEE
State WI
Zip Code 53218-1208

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1912484635 Comprehensive Occupational Medical Associates of Connecticut P C Clinic/Center 633 E Mason St, Milwaukee, WI 53202-3813 2018-07-25
1073801395 Shalem Healing Clinic/Center 800 E Locust St, Milwaukee, WI 53212-2634 2011-07-20
1083755177 Curative Care Network, Inc. Clinic/Center 1000 N 92nd St, Milwaukee, WI 53226-3533 2007-02-09
1922164656 Procare Medical Group Sc Clinic/Center 1218 W Kilbourn Ave, Suite 124, Milwaukee, WI 53233-1330 2006-12-28
1225071491 Columbia St. Mary's Hospital Milwaukee Inc Clinic/Center 2323 N Lake Dr, Milwaukee, WI 53211-4508 2006-06-14

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1003336884 3d Brows and Wellness LLC Clinic/Center 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 2017-06-22
1437529120 Quad/med, LLC Clinic/Center W227 N6103 Sussex Rd, Sussex, WI 53089 2015-10-07
1891106092 Wisconsin Wellness Clinic Clinic/Center 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 2014-05-11
1437317708 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1160 Service Rd, Kiel, WI 53042 2008-05-23
1679731954 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1128 E Parkway Ave, Oshkosh, WI 54901 2008-05-23
1669639142 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center N9642 County Rd N, Appleton, WI 54915 2008-05-21
1265699748 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Fl 4, Appleton, WI 54915 2008-05-21
1073770558 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1531 S Madison St Ste 580, Appleton, WI 54915 2008-05-21
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Competitor

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City MILWAUKEE
Zip Code 53218

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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