Active NPI
Milwakee Health Service Systems LL
- Preferred Provider Organization
- Milwaukee, WI
National Provider Identifier
1306257829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 15855-130
- Legal business name
- MILWAKEE HEALTH SERVICE SYSTEMS LL
- Practice address
- 4800 S 10TH St
Milwaukee, WI 53221-2412 - Phone
- (414) 744-5370
- Fax
- (414) 744-9052
- NPI assigned
- May 19, 2014
- Last updated
- May 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Roxie Ann Smith, SAC-IT
- Title
- Aoda Counelor
- Phone
- (414) 744-5370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 15855-130 | WI | Primary |
Addresses
Primary practice location
4800 S 10TH St
Milwaukee, WI 53221-2412
Mailing address
4800 S 10TH St
Milwaukee, WI 53221-2412
Phone (414) 744-5370
National Provider Directory
National Provider Directory- Tax ID family
- Esolutions Inc
Other organizations with this tax ID 26
Organizations that report the same tax identification number in the National Provider Directory.
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-
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-
dba River's Shore Clinic
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-
- Non-Pharmacy Dispensing Site
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-
- Methadone Clinic
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dba North West Wisconsin Comprehensive Treatment Center
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dba 10th Street Comprehensive Treatment Center
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- Milwaukee, WI
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-
dba Madison East Comprehensive Treatment Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Madison, WI
- NPI 1194992404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400457600000",
"number": "1306257829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 S 10TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212412",
"telephone_number": "414-744-5370",
"fax_number": "414-744-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 S 10TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532212412",
"telephone_number": "414-744-5370",
"fax_number": "414-744-9052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILWAKEE HEALTH SERVICE SYSTEMS LL",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-19",
"last_updated": "2014-05-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROXIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "AODA COUNELOR",
"authorized_official_telephone_number": "414-744-5370",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SAC-IT"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "WI",
"license": "15855-130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
- Millway Healthcare LLC
- Cindy Vee Milner, LCSW
- Staci Lynne Milosavljevic, M.D.
- Milosh Grubor, M.D., S.C.
- Mark Milshteyn, M.D.
- Milwauke Nursing and Rehab LLC
- Milwaukee Academy of Science
- Milwaukee Acupuncture and Wellness, LLC
- Milwaukee Advanced Physical Therapy, LLC
- Milwaukee Affiliated Chiropractic Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.