NPIMap

Organization Active NPI

Milwaukee Health Service Systems

Doing business as River's Shore Clinic

  • Community/Behavioral Health Agency
  • Milwaukee, WI
National Provider Identifier
1003173378
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
16312-130 Issued in WI
Legal business name
MILWAUKEE HEALTH SERVICE SYSTEMS
Doing business as
River's Shore Clinic
Practice address
3707 N Richards St
Milwaukee, WI 53212-1673
Phone
(414) 967-7006
Fax
(414) 967-7020
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cari Dziadowicz
Title
Clinic Director
Phone
(414) 967-7006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 16312-130 WI Primary

Addresses

Primary practice location

3707 N Richards St
Milwaukee, WI 53212-1673

Mailing address

3707 N Richards St
Milwaukee, WI 53212-1673
Phone (414) 967-7006

Other names 1

  • River's Shore Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1003173378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N RICHARDS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121673",
            "telephone_number": "414-967-7006",
            "fax_number": "414-967-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 N RICHARDS ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121673",
            "telephone_number": "414-967-7006",
            "fax_number": "414-967-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE HEALTH SERVICE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "DZIADOWICZ",
        "authorized_official_first_name": "CARI",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "414-967-7006"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "16312-130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River's Shore Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.