MEDICARE: DEPARTMENT OF HEALTH & FAMILY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568652378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPARTMENT OF HEALTH & FAMILY SERVICES

Provider Business Mailing Address
First Line	:	6111 N TEUTONIA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-3646
Country	:	US
Telephone Number	:	414-616-6210
Fax Number	:

Provider Business Practice Location Address
First Line	:	6111 N TEUTONIA AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53209-3646
Country	:	US
Telephone Number	:	414-616-6210
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MARK RAMION
Credential	:
Telephone Number	:	414-220-7958

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	07/27/2007

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Directions to “DEPARTMENT OF HEALTH & FAMILY SERVICES ” Practice Location

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