Penfield Children's Center, Inc. | |
833 N 26th St Milwaukee WI 53233-1507 | |
(414) 344-7676 | |
(414) 344-7739 |
Full Name | Penfield Children's Center, Inc. |
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Speciality | Clinic/Center |
Location | 833 N 26th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | Polina Makievsky (PRESIDENT & CEO) |
Authorized Official Contact | 4143456300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Penfield Children's Center, Inc. 833 N 26th St Milwaukee WI 53233-1507 Ph: (414) 344-7676 | Penfield Children's Center, Inc. 833 N 26th St Milwaukee WI 53233-1507 Ph: (414) 344-7676 |
NPI Number | 1275692410 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 02/20/2024 |
Medicare PECOS PAC ID | 4981056785 |
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Medicare Enrollment ID | O20240117002679 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275692410 | NPI | - | NPPES |
41808500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Wisconsin) | Primary |
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