Healthcare Provider Details

I. General information

NPI: 1720098650
Provider Name (Legal Business Name): NETWORK HEALTH SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 ANNE ST
CLINTONVILLE WI
54929-1366
US

IV. Provider business mailing address

1570 MIDWAY PL
MENASHA WI
54952-1165
US

V. Phone/Fax

Practice location:
  • Phone: 715-823-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEFF BADGER
Title or Position: SR. VICE PRESIDENT-FINANCE & CFO
Credential:
Phone: 920-720-1463