NPI 1205997517

Source One Healthcare a Division of Phillips Pharmacies

Organisation Health Maintenance Organization Mauston, WI

Practice location

Address: 123 E State St, Mauston, WI 53948-1344
Phone: (800) 779-1276
Fax: (608) 847-5739
Mailing address: 123 E State St P.O. Box 218, Mauston, WI 53948-1344

Authorised official

Name: Wayne Macardy
Title: President
Phone: (800) 779-1276

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Wisconsin →

Registry record

NPI: 1205997517
Entity type: Organization
NPI issued: 12 Dec 2006
Record last updated: 13 Nov 2007

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.