MILWAUKEE HEALTH SERVICES SYSTEM, LLC (NPI# 1780850594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780850594 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE HEALTH SERVICES SYSTEM, LLC |
| Other Organization Name | RIVERS SHORE COMPREHENSIVE TREATMENT CENTER |
| Practice Address |
3707 N Richards St Milwaukee WI 53212-1673 |
| Practice Telephone | 4149677012 |
| Practice Fax Number | 4149677020 |
| Mailing Telephone | 4149677012 |
| Mailing Fax Number | 4149677020 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2016-04-27 |
| Authorized Official Name | MR. JOHN PELOQUIN (CTC DIVISION PRESIDENT) |
| Authorized Official Telephone | 7607100951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
1643 | WI | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1643 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42225800 | 05 |
| Other Name | Type Code |
|---|---|
| Rivers 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 |
| 1174798524 | Milwaukee Health Services System, LLC | Clinic/Center | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2008-04-28 |
| 1649326737 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N. Richards Street, Milwaukee, WI 53212-1673 | 2007-01-25 |
| 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 ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626981 | Carolyn Marie Lewis | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-10-14 |
| 1073120499 | Kathleen Joan St John | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-09-29 |
| 1700404266 | Sheryl Lynn Cotton | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-07-10 |
| 1477171205 | Carmella L Caceres | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-07-08 |
| 1306471644 | Lea Nickolas | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-03-06 |
| 1366074635 | Michelle Englund | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2020-02-05 |
| 1750926531 | A D Venzel Owens | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-11-15 |
| 1205479698 | Natalie Bolton | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-10-18 |
| 1083277057 | Patricia Martin | Licensed Practical Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-04-16 |
| 1013478312 | Samikqua Spencer | Counselor | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2019-03-28 |
| Find all providers in the same location | ||||
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314864 | Joyce's House of Milwaukee | Clinic/Center | 2811 W North Ave, Milwaukee, WI 53208-1551 | 2020-01-05 |
| 1245628817 | Forever Free Substance Abuse and Mental Heath Treament Center | Clinic/Center | 724 S Layton Blvd, Milwaukee, WI 53215-1224 | 2015-01-05 |
| 1669889283 | Roots Counseling Services, LLC | Clinic/Center | 1681 N Prospect Ave, Milwaukee, WI 53202-6720 | 2014-07-15 |
| 1649326737 | Milwaukee Health Services System, LLC | Clinic/Center | 3707 N. Richards Street, Milwaukee, WI 53212-1673 | 2007-01-25 |
| 1568461846 | Meta House, Inc. | Clinic/Center | 2625 N Weil St, Milwaukee, WI 53212-3060 | 2005-07-19 |
| 1538634829 | 4th Dimension Recovery Centers | Clinic/Center | 1216 N Prospect Ave, Milwaukee, WI 53202-3061 | 2018-10-12 |
| 1821524018 | Sals Recovery Center LLC | Clinic/Center | 800 E Locust St, Milwaukee, WI 53212-2634 | 2017-05-07 |
| 1144400383 | Northern Crossing Behavioral Health Services, LLC | Clinic/Center | 5303 W North Ave, Milwaukee, WI 53208 | 2007-11-05 |
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|---|---|---|---|---|
| 1538709159 | Thrive Consulting and Wellness, LLC | Clinic/Center | 715 Hill St Ste 250a, Madison, WI 53705-3572 | 2020-01-11 |
| 1073151874 | Mahala's Hope, Inc. | Clinic/Center | N4590 Us Highway 45, Eden, WI 53019-1212 | 2019-12-12 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1952860181 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 6080 S 108th St Ste B, Hales Corners, WI 53130-2557 | 2019-03-18 |
| 1184182602 | Symetria Health of Wisconsin, L.L.C. | Clinic/Center | 2997 Yarmouth Greenway Dr Ste 100, Fitchburg, WI 53711-5809 | 2019-03-04 |
| 1912464934 | The Ladders Recovery Community | Clinic/Center | 1331 Capitol Dr, Oconomowoc, WI 53066-5705 | 2019-02-26 |
| 1093215410 | Ray Services LLC | Clinic/Center | 147 W Ryan Rd, Oak Creek, WI 53154-4401 | 2018-02-13 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1124372586 | Jessie Crawford Recovery Center, Inc. | Clinic/Center | 2101 N Sherman Ave, Madison, WI 53704-3932 | 2012-11-06 |
| 1184976201 | Rosecrance Inc | Clinic/Center | N27w23957 Paul Rd, Suite 101, Pewaukee, WI 53072-6223 | 2012-10-12 |
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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.