NPI 1093262891

River's Shore Clinic Ctc

Organisation Health Maintenance Organization Milwaukee, WI

Practice location

Address: 3707 N Richards St, Milwaukee, WI 53212-1673
Phone: (414) 967-7006
Mailing address: 8048 N Celina St, Milwaukee, WI 53224-2904

Authorised official

Name: Lapika Washington
Title: Clinical Director
Phone: (414) 967-7006

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 312890-31 (WI)

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Registry record

NPI: 1093262891
Entity type: Organization
NPI issued: 9 Sep 2016
Record last updated: 9 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.