NPIMap

Organization Active NPI

MJ Care

  • Health Maintenance Organization
  • Green Bay, WI
National Provider Identifier
1033406012
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1736-019 Issued in WI
Legal business name
MJ CARE
Practice address
711 Winford Ave
Green Bay, WI 54303-4023
Phone
(920) 321-4467
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Linda MarxNPI 1407124084
Title
Pta
Phone
(920) 321-4467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 1736-019 WI Primary

Addresses

Primary practice location

711 Winford Ave
Green Bay, WI 54303-4023

Mailing address

711 Winford Ave
Green Bay, WI 54303-4023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1033406012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WINFORD AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WINFORD AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034023",
            "telephone_number": "920-321-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "920-321-4467"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "1736-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.