INTERRA HEALTH, INC.


Address: 8919 W Heather Ave, Milwaukee, WI 53224-2417
Phone: 4143751600

INTERRA HEALTH, INC. (NPI# 1396070876) 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) 1396070876
Entity Type Organization
Organization Name INTERRA HEALTH, INC.
Practice Address 8919 W Heather Ave
Milwaukee
WI 53224-2417
Practice Telephone 4143751600
Practice Fax Number 4143751639
Mailing Telephone 4143751600
Mailing Fax Number 4143751639
Enumeration Date 2009-10-16
Last Update Date 2019-05-07
Authorized Official Name RYAN SOMMERS (PRESIDENT)
Authorized Official Telephone 4147554898
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1800X Clinic/Center
Specialization: Corporate Health
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations INTERRA HEALTH, INC. 1675 N. Barker Rd., Ste 200, Brookfield, Wi 53045

Office Location

Street Address 8919 W HEATHER AVE
City MILWAUKEE
State WI
Zip Code 53224-2417

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1003198292 Attentacare Residential Living LLC In Home Supportive Care 8225b North 107th Street, Milwaukee, WI 53224 2011-09-13
1366744278 Sunday Kerobo Registered Nurse 9809 W Fountain Ave, Milwaukee, WI 53224 2010-11-29
1558677237 Valorie J Roberts Registered Nurse 10282 W Fountain Ave Apt #1301, Milwaukee, WI 53224 2010-08-19
1699092999 United Extended Home Healthcare Services Home Health 6455 N. Fresno Streeet, Milwaukee, WI 53224 2010-04-26
1063742096 Contina Monique Williams Licensed Practical Nurse 3949 N 70th St, Milwaukee, WI 53224 2010-01-14
1316171234 Laura Ann Stern Registered Nurse 7005 N102nd St, Milwaukee, WI 53224 2009-05-06
1124276977 Mary Deloris Wilder Registered Nurse 9851 W. Dean Rd, Milwaukee, WI 53224 2008-09-05
1346413515 Alex B Goldman Counselor 11414 W Park Place Suite 202, Milwaukee, WI 53224 2008-04-09
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Taxonomy Information

Taxonomy Code 261QC1800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Corporate Health

Taxonomy Definition

Definition to come...

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1083054555 University of Wisconsin Hospital and Clinics Clinic/Center 600 Highland Ave # 6715, Madison, WI 53792-0001 2013-06-28
1649503467 Salus Inc Clinic/Center 2301 Sun Valley Dr Ste 102, Delafield, WI 53018-2318 2009-09-11
1073665923 Drs. Dahlgren & Neitzke, Inc. Clinic/Center 7311 W Greenfield Ave, West Allis, WI 53214-4730 2007-01-18

Competitor

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City MILWAUKEE
Zip Code 53224

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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