AIDS RESOURCE CENTER OF WISCONSIN, INC. (NPI# 1447543434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447543434 |
Entity Type | Organization |
Organization Name | AIDS RESOURCE CENTER OF WISCONSIN, INC. |
Practice Address |
1105 Grand Ave Suite 1 Schofield WI 54476-1168 |
Mailing Address |
820 N Plankinton Ave Milwaukee WI 53203-1802 |
Practice Telephone | 7153556867 |
Practice Fax Number | 7153550640 |
Mailing Telephone | 4142251542 |
Mailing Fax Number | 4142251575 |
Enumeration Date | 2011-05-24 |
Last Update Date | 2011-05-24 |
Authorized Official Name | MS. SUSAN HALLBERG (VICE PRESIDENT & CFO) |
Authorized Official Telephone | 4142251542 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42228200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144513128 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 1212 57th St, Kenosha, WI 53140-4069 | 2011-05-24 |
1477846467 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 445 S Adams St, Green Bay, WI 54301-4107 | 2011-05-24 |
1982654091 | Aids Resource Center of Wisconsin, Inc. | Case Management | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2006-05-11 |
1578857967 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 445 S Adams St, Green Bay, WI 54301-4107 | 2011-06-03 |
1841584232 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 1212 57th St, Kenosha, WI 53140-4069 | 2011-06-03 |
1134367063 | Aids Resource Center of Wisconsin, Inc. | Case Management | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2009-01-30 |
1770721607 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 820 N Plankinton Ave, Milwaukee, WI 53203-1802 | 2009-01-30 |
Street Address |
1105 GRAND AVE SUITE 1 |
City | SCHOFIELD |
State | WI |
Zip Code | 54476-1168 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912209750 | Hmong Quality Home Care, LLC | In Home Supportive Care | 1105 Grand Ave, Suite 3, Schofield, WI 54476-1168 | 2010-11-30 |
1750741765 | Emily Nyabwari | Case Manager/Care Coordinator | 1105 Grand Ave, Schofield, WI 54476-1168 | 2016-03-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
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Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
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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.