H2O:HEALTH HYDRATION OASIS


Address: 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899
Phone: 2699980683

H2O:HEALTH HYDRATION OASIS (NPI# 1811412091) 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) 1811412091
Entity Type Organization
Organization Name H2O:HEALTH HYDRATION OASIS
Practice Address 17110 W Greenfield Ave Ste 6
Brookfield
WI 53005-6899
Mailing Address 13130 Watertown Plank Rd Unit 201
Elm Grove
WI 53122-2240
Practice Telephone 2699980683
Mailing Telephone 2699980683
Enumeration Date 2017-08-08
Last Update Date 2017-08-08
Authorized Official Name DR. ALIA LYNELL FOX (FOUNDER, MEDICAL DIRECTOR)
Authorized Official Telephone 2699980683
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
55919-20 WI Ambulatory Health Care Facilities

Office Location

Street Address 17110 W GREENFIELD AVE STE 6
City BROOKFIELD
State WI
Zip Code 53005-6899

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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1376829077 Brookfield Health & Injury LLC Clinic/Center 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 2011-10-25

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Competitor

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City BROOKFIELD
Zip Code 53005

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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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