NPI 1154479822

Community Care Health Plan, INC

Organisation Health Maintenance Organization Brookfield, WI

Practice location

Address: 205 Bishops Way, Brookfield, WI 53005-6247
Phone: (414) 231-4000
Fax: (262) 827-7051

Authorised official

Name: Nancy Melnick
Title: Regulatory Affairs Specialist
Phone: (262) 207-9362

Registered specialties (3)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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PACE Provider Organization

Agencies Taxonomy 251T00000X

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Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

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Registry record

NPI: 1154479822
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 15 Dec 2021

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.