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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities |
| Street Address |
8919 W HEATHER AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53224-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1811494628 | Udoyen Health LLC | Psychiatry & Neurology | 1414 W Park Pl, Suite 202, Milwaukee, WI 53224 | 2018-04-09 |
| 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 |
| Find all providers in zip 53224 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407786 | Nordic Private Care, LLC | Clinic/Center | 814 Lynn Avenue, Baraboo, WI 53913 | 2020-11-06 |
| 1497282255 | Mobile Occupational Health and Wellness Urgent Care Solutions | Clinic/Center | 5055 S 84th St, Greendale, WI 53129-1006 | 2017-05-11 |
| 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 |
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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.