MILWAUKEE HEALTH SERVICES SYSTEM, LLC


Address: 3707 N. Richards Street, Milwaukee, WI 53212-1673
Phone: 4149677012

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 42030400 05

Other Provider/Organization Names

Other Name Type Code
River's Shore Comprehensive Treatment Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3707 N. RICHARDS STREET
City MILWAUKEE
State WI
Zip Code 53212-1673

Providers in the same zip code

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 Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City MILWAUKEE
Zip Code 53212

Improve Information

Please comment or provide details below to improve the information on MILWAUKEE HEALTH SERVICES SYSTEM, LLC.

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.

Trending Searches