Medicaid is a Nursing Care, Pediatric in Menasha, Wisconsin. Medicaid practices all healthcare services and medical treatments related to Nursing Care, Pediatric. The NPI Number for Medicaid is 1336109776. The last update date is 2020-08-22.
Medicaid's current location address is 1125 Geneva Rd, Menasha, Wisconsin. You can contact this provider via phone number 9204508323. The mailing address for Medicaid is 1125 Geneva Rd, Menasha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medicaid |
|---|---|
| Address | 1125 Geneva Rd, Menasha, Wisconsin |
| Phone Number | 9204508323 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RN |
|---|---|
| Authorized Official Name | Farragh Ann Lori |
| Telephone Number | 9204508323 |
NPI Number Detail
| NPI Number | 1336109776 |
|---|---|
| Provider Enumeration Date | 2006-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1125 Geneva Rd |
|---|---|
| City | Menasha |
| State | Wisconsin (WI) |
| Post Code | 549521505 |
| Phone Number | 9204508323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Care, Pediatric |
|---|---|
| Taxonomy | 3140N1450X |
|
Definition: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restri |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Medicaid?
The Medicaid has been issued the NPI (National Provider Identifier) 1336109776 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Medicaid is geographically located?
The Medicaid is physically situated at the following location: 1125 Geneva Rd, Menasha, WI, 549521505.
What is Medicaid's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Medicaid is Nursing Care, Pediatric, and the taxonomy code that classifies this field of practice is 3140N1450X.
When was the Medicaid's 1336109776 issued?
The Medicaid's 1336109776 was issued on 2006-03-27.
When was the information regarding Medicaid, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Medicaid, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC