MILWAUKEE HEALTH SERVICES SYSTEM, LLC (NPI# 1649326737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649326737 |
Entity Type | Organization |
Organization Name | MILWAUKEE HEALTH SERVICES SYSTEM, LLC |
Other Organization Name | RIVER'S SHORE COMPREHENSIVE TREATMENT CENTER |
Practice Address |
3707 N. Richards Street Milwaukee WI 53212-1673 |
Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011 |
Practice Telephone | 4149677012 |
Practice Fax Number | 4149677020 |
Mailing Telephone | 8552592288 |
Mailing Fax Number | 7609308923 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2016-05-02 |
Authorized Official Name | MR. JOHN PELOQUIN (PRESIDENT, CTC DIVISION) |
Authorized Official Telephone | 7607100951 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1643 | WI | Ambulatory Health Care Facilities |
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1643 | WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42030400 | 05 |
Other Name | Type Code |
---|---|
River's Shore Comprehensive Treatment Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881942845 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington Street, Wausau, WI 54403-5475 | 2012-08-24 |
1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
1174798524 | Milwaukee Health Services System, LLC | Clinic/Center | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2008-04-28 |
1790837128 | Milwaukee Health Services System, LLC | Psychiatry & Neurology | 4800 S. 10th Street, Milwaukee, WI 53221-2412 | 2007-01-17 |
1467503193 | Milwaukee Health Services System, LLC | Counselor | 3301 N. Ballard Road, Ste. B, Appleton, WI 54911-8928 | 2007-01-16 |
1801947965 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr., Madison, WI 53718-3807 | 2007-01-16 |
1336247139 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington St., Wausau, WI 54403-5475 | 2006-09-20 |
1457815789 | Milwaukee Health Services System, LLC | Clinical Medical Laboratory | 4800 S. 10th Street, Milwaukee, WI 53221-2412 | 2019-01-31 |
1144684697 | Milwaukee Health Services System, LLC | Counselor | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2016-04-11 |
Street Address |
3707 N. RICHARDS STREET |
City | MILWAUKEE |
State | WI |
Zip Code | 53212-1673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
Find all providers in zip 53212 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740767292 | Ansa Treatment Center Inc | Clinic/Center | 4111 N Port Washington Rd Ste 101a, Milwaukee, WI 53212-1029 | 2018-07-26 |
1780850594 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2008-05-01 |
1174798524 | Milwaukee Health Services System, LLC | Clinic/Center | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2008-04-28 |
1972980217 | Milwaukee Health Services | Clinic/Center | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2015-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951321 | Premier Care of Wisconsin, LLC. | Clinic/Center | 1333 College Ave Ste M1, South Milwaukee, WI 53172-1150 | 2020-08-05 |
1013572353 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 11390 W Theo Trekr Way, West Allis, WI 53214-1135 | 2019-05-02 |
1265922660 | Addiction Services and Pharmacotherapy, Sc | Clinic/Center | 210 E Olin Ave, Madison, WI 53713-1434 | 2018-05-11 |
1003150004 | Ams of Wisconsin, LLC | Clinic/Center | 9532 E 16 Frontage Rd, Suite 100, Onalaska, WI 54650-6739 | 2012-11-15 |
1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
1093912768 | C.o.r.e.,llc | Clinic/Center | 4555 W Schroeder Dr Ste 185, Brown Deer, WI 53223-1494 | 2007-06-27 |
1336247139 | Milwaukee Health Services System, LLC | Clinic/Center | 210 Washington St., Wausau, WI 54403-5475 | 2006-09-20 |
1881131761 | Psychological Addiction Services LLC | Clinic/Center | 3113 E Washington Ave, Madison, WI 53704-4330 | 2017-01-30 |
1326423534 | Tereo Narcotic Treatment Center, LLC | Clinic/Center | 2405 Northwestern Ave, Suite Lower Level, Racine, WI 53404-2534 | 2015-07-29 |
1659522613 | Quality Addiction Management | Clinic/Center | 1610 Miller Park Way, West Milwaukee, WI 53214-3604 | 2008-10-08 |
Find all providers with the same taxonomy |
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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.