NPI 1669250429

Humana Insurance Company

Organisation Preferred Provider Organization De Pere, WI

Practice location

Address: 1100 Employers Blvd, De Pere, WI 54115-8187
Phone: (502) 580-1000

Authorised official

Name: George Renaudin
Title: President, Medicare and Medicaid
Phone: (615) 370-1801

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Wisconsin →

Registry record

NPI: 1669250429
Entity type: Organization
NPI issued: 21 Sep 2023
Record last updated: 21 Sep 2023

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.