Managed Health Services Insurance Corp.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

HMO 69002400 Issued in WI

Legal business name

MANAGED HEALTH SERVICES INSURANCE CORP.

Practice address

801 S 60TH St
West Allis, WI 53214-9800

Phone

(414) 345-4620

Fax

(414) 259-2153

NPI assigned

Jul 30, 2007

Organization subpart

Yes

Parent organization

CENTENE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Kenneth Koshorek

Title

Staff Vice President

Phone

(313) 720-5567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1861682411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532143167",
            "telephone_number": "414-345-4620",
            "fax_number": "414-259-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S 60TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532149800",
            "telephone_number": "414-345-4620",
            "fax_number": "414-259-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED HEALTH SERVICES INSURANCE CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTENE CORPORATION",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "KOSHOREK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "STAFF VICE PRESIDENT",
        "authorized_official_telephone_number": "313-720-5567"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "HMO 69002400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in West Allis, WI
• Providers in West Allis, WI by specialty
• Health Maintenance Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.