NPI 1225160492
La Crosse County Cmo
Practice location
- Address
- 1407 Saint Andrew St STE 100, La Crosse, WI 54603-2378
- Phone
- (608) 785-6266
- Fax
- (608) 785-6315
Authorised official
- Name
- Patrick Killeen
- Title
- Cmo Administrator
- Phone
- (608) 785-6062
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1225160492
- Entity type
- Organization
- NPI issued
- 12 Mar 2007
- Record last updated
- 22 Aug 2020
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.