AIDS RESOURCE CENTER OF WISCONSIN, INC.


Address: 1212 57th St, Kenosha, WI 53140-4069
Phone: 2626576644

AIDS RESOURCE CENTER OF WISCONSIN, INC. (NPI# 1144513128) 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) 1144513128
Entity Type Organization
Organization Name AIDS RESOURCE CENTER OF WISCONSIN, INC.
Practice Address 1212 57th St
Kenosha
WI 53140-4069
Mailing Address 820 N Plankinton Ave
Milwaukee
WI 53203-1802
Practice Telephone 2626576644
Practice Fax Number 2626576949
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 32895000 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1447543434 Aids Resource Center of Wisconsin, Inc. Clinic/Center 1105 Grand Ave, Suite 1, Schofield, WI 54476-1168 2011-05-24
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

Office Location

Street Address 1212 57TH ST
City KENOSHA
State WI
Zip Code 53140-4069

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841584232 Aids Resource Center of Wisconsin, Inc. Clinic/Center 1212 57th St, Kenosha, WI 53140-4069 2011-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225663396 Lydia Zopf Counselor 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 2020-03-09
1952949406 Rotate Rehabilitation and Performance Physical Therapist 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 2019-12-16
1134778590 Brenda Chiapetta Registered Nurse 3233 23rd Ave, Kenosha, WI 53140 2019-09-09
1275003394 Kimberly Shaffner Family Medicine 4536 22nd Avenue, Kenosha, WI 53140 2018-12-01
1659863389 Bart L Mengo Contractor 1715 60th Street, Kenosha, WI 53140 2018-05-30
1093182941 Guided Wellness Counseling Community/Behavioral Health 1112 56th St, Kenosha, WI 53140 2015-08-26
1376970764 Stacey L Andersen Acupuncturist 5603 7th Ave, Kenosha, WI 53140 2013-10-01
1841467438 Deborah Schwerdtfeger Occupational Therapy Assistant 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 2008-05-13
1942492020 Rebecca Ann Burdette Counselor 920 60th Street, Renosha, WI 53140 2007-08-13
1851598619 Aurora Medical Group, Inc. Durable Medical Equipment & Medical Supplies 2707 15th Place, Kenosha, WI 53140 2007-06-27
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1760852495 Planned Parenthood of Wi, Inc. Clinic/Center 3601 Roosevelt Rd, Kenosha, WI 53142-7231 2015-10-07
1982770095 Kenosha Family Practice, S.c. Clinic/Center 5923 Green Bay Rd, Kenosha, WI 53144-3737 2006-11-28

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1336747781 Daily Care Telemdicine Inc Clinic/Center 323 N Morrison St, Appleton, WI 54911-5404 2020-10-16
1619589082 Domanika Morbley Clinic/Center 2544 N 11th St, Milwaukee, WI 53206-3127 2020-08-18
1184234163 Weber Health Logistics, LLC Clinic/Center 333 Front St N, La Crosse, WI 54601-3220 2020-08-05
1427674860 Shanice Williams Clinic/Center 3950 N 74th St, Milwaukee, WI 53216-1971 2020-06-22
1639721871 Shifting Healthcare, LLC Clinic/Center 1702 Scheuring Rd, De Pere, WI 54115-9567 2019-07-09
1699334441 Mvmt Performance & Rehabilitation Clinic/Center 2866 Gentle Hills Dr, De Pere, WI 54115-8157 2019-06-06
1114379310 East Meets West Therapeutics Sc Clinic/Center 136 N Main St Ste 305, Thiensville, WI 53092-1606 2016-07-12
1912358128 Achieve Wellness, LLC Clinic/Center 3300 Birch St Ste 1b, Eau Claire, WI 54703-2297 2016-06-29
1003276841 Mobile Medical Diagnostic Services LLC Clinic/Center 5205 S 13th St, Unit E, Milwaukee, WI 53221-3648 2016-03-04
1821458811 Kutaiba Al Ithawi Clinic/Center 5205 S 13th St Unit E, Milwaukee, WI 53221-3648 2016-03-03
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Competitor

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City KENOSHA
Zip Code 53140

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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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