NPIMap

Organization Active NPI

Milwaukee Immediate Care Corporation

  • Urgent Care Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1790959138
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MILWAUKEE IMMEDIATE CARE CORPORATION
Practice address
1971 W Capitol Dr
Milwaukee, WI 53206-1909
Phone
(414) 873-9800
Fax
(414) 871-1971
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Mr. Perry Mongoles
Title
Proprietor
Phone
(414) 745-4588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1971 W Capitol Dr
Milwaukee, WI 53206-1909

Mailing address

1971 W Capitol Dr
Milwaukee, WI 53206-1909
Phone (414) 873-9800

National Provider Directory

National Provider Directory

Locations

1971 W Capitol Dr
Milwaukee, WI 53206
Phone (414) 873-9800

Practitioners & affiliated clinicians

Practitioners 3

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": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1790959138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061909",
            "telephone_number": "414-873-9800",
            "fax_number": "414-871-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061909",
            "telephone_number": "414-873-9800",
            "fax_number": "414-871-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE IMMEDIATE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "MONGOLES",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "414-745-4588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 11, 2008; 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.