Community Service Associates, NPI 1780610923
Mental Health Clinic/Center (Including Community Mental Health Center) in Portage, WI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1780610923 |
| NPI Entity Type | Organization |
| Provider Name |
Community Service Associates
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2901 Hunters Trl, Portage, WI, US |
| Provider Mailing Address | Po Box 301, 2901 Hunters Trail, Portage, WI, US, 539013403 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Sherry D Stevens |
| Official Position | CREDENTIALING DEPT/BUSINESS MANAGER |
| Phone | 608-524-5151 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center) |
| Classification | |
| Group | |
| License No. | 2149 |
| License State | WI |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 292394 | WI | VALUE OPTIONS | 01 |
| W010102 | WI | TRICARE/CHAMPUS | 01 |
| 501113 | WI | DEAN HEALTH PLAN | 01 |
| CD8222 | WI | RAILROAD MEDICARE | 01 |
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