| Vivent Health Inc | |
|
1105 Grand Ave Suite 1 Schofield WI 54476-1168 | |
| (715) 355-6867 | |
| (715) 355-0640 |
| Full Name | Vivent Health Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1105 Grand Ave, Schofield, Wisconsin |
| Authorized Official Name and Position | Tim Dyer (EXEC VP) |
| Authorized Official Contact | 8665255484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivent Health Inc 820 N Plankinton Ave Milwaukee WI 53203-1802 Ph: (414) 225-1542 | Vivent Health Inc 1105 Grand Ave Suite 1 Schofield WI 54476-1168 Ph: (715) 355-6867 |
| NPI Number | 1447543434 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447543434 | NPI | - | NPPES |
| 42228200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Central Wisconsin Mental Health Associates, Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1699 Scholfield Avenue Suite 119/120, Schofield, WI 54476 Phone: 715-212-6209 | |
Mind And Body Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Ross Ave Ste 100, Schofield, WI 54476 Phone: 715-297-4635 Fax: 715-298-0749 | |
Attic Correctional Servcies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1699 Schofield Ave Ste 116, Schofield, WI 54476 Phone: 715-355-0671 |