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NPI Code Detail

MEDICARE: INDEPENDENCEFIRST

MEDICARE: INDEPENDENCEFIRST
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
1251E00000XHome Health Agency
2251E00000XHome Health Agency43104200WI

Other Identifiers

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

General Provider Information

NPI Number : 1336143395
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDEPENDENCEFIRST
Provider Business Mailing Address
First Line : 540 S 1ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-1605
Country : US
Telephone Number : 414-291-7520
Fax Number : 414-291-7525
Provider Business Practice Location Address
First Line : 540 S 1ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-1605
Country : US
Telephone Number : 414-291-7520
Fax Number : 414-291-7525
Authorized Official
Title or Position : COO
Name : MRS. DEB LANGHAM
Credential :
Telephone Number : 414-226-8371
Provider Enumeration Date : 06/08/2005
Last Update Date : 04/24/2019

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Directions to “INDEPENDENCEFIRST ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.