NPI 1902060031

Chp-Lts, INC.

Organisation Exclusive Provider Organization Eau Claire, WI

Practice location

Address: 2240 Eastridge Ctr, Eau Claire, WI 54701-3410
Phone: (715) 838-2900
Fax: (715) 858-7023

Authorised official

Name: Karen a Bullock
Title: Ceo
Phone: (715) 838-2901

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Wisconsin →

Registry record

NPI: 1902060031
Entity type: Organization
NPI issued: 17 Jul 2008
Record last updated: 17 Jul 2008

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.