| Vivent Health Inc | |
|
1311 N 6th St Milwaukee WI 53212-4006 | |
| (414) 223-6800 | |
| (414) 273-2357 |
| Full Name | Vivent Health Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1311 N 6th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Joann Marie Berk (SR. DIRECTOR OF CORPORATE SERVICES) |
| Authorized Official Contact | 4142251568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivent Health Inc Po Box 510498 Milwaukee WI 53203-0092 Ph: (866) 525-5484 | Vivent Health Inc 1311 N 6th St Milwaukee WI 53212-4006 Ph: (414) 223-6800 |
| NPI Number | 1770721607 |
|---|---|
| Provider Enumeration Date | 01/30/2009 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770721607 | NPI | - | NPPES |
| 42228200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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