AIDS RESOURCE CENTER OF WISCONSIN, INC. (NPI# 1477846467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477846467 |
Entity Type | Organization |
Organization Name | AIDS RESOURCE CENTER OF WISCONSIN, INC. |
Practice Address |
445 S Adams St Green Bay WI 54301-4107 |
Mailing Address |
820 N Plankinton Ave Milwaukee WI 53203-1802 |
Practice Telephone | 9204377400 |
Practice Fax Number | 9204371040 |
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 | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 32895000 | 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 |
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 |
Street Address |
445 S ADAMS ST |
City | GREEN BAY |
State | WI |
Zip Code | 54301-4107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033664024 | Sarah Siebert | Counselor | 445 S Adams St, Green Bay, WI 54301-4107 | 2016-08-18 |
1497115489 | Tanya Curran | Case Manager/Care Coordinator | 445 S Adams St, Green Bay, WI 54301-4107 | 2016-03-03 |
1578857967 | Aids Resource Center of Wisconsin, Inc. | Clinic/Center | 445 S Adams St, Green Bay, WI 54301-4107 | 2011-06-03 |
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1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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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.