NPI 1528423290

Blue Ribbon Healthcare LLC

Organisation Health Maintenance Organization Milwaukee, WI

Practice location

Address: 1743 South1st Street, Milwaukee, WI 53204
Phone: (414) 643-4987
Fax: (414) 643-5046
Mailing address: PO Box 510442, Milwaukee, WI 53203

Authorised official

Name: Mike White
Title: Office Administrator
Phone: (414) 643-4987

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1154576 (WI)

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Registry record

NPI: 1528423290
Entity type: Organization
NPI issued: 23 Dec 2015
Record last updated: 23 Dec 2015

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.