CMS SOUTH MILWAUKEE – NPI #1114638806
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
CMS SOUTH MILWAUKEE is an AHC clinic located in SOUTH MILWAUKEE, WI. NPPES has assigned the NPI number 1114638806 to CMS SOUTH MILWAUKEE on December 13, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CMS SOUTH MILWAUKEE” is a dba name, the actual legal business name for this organization is PREMIER CARE OF WISCONSIN, LLC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 2 years ago on Feb 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CMS SOUTH MILWAUKEE below.
NPI Profile for
PREMIER CARE OF WISCONSIN, LLC.
(more than 3 years ago)
SOUTH MILWAUKEE, WI 53172-1150 Phone: (414) 775-2500 Fax: (414) 301-9328
SCOTTSDALE, AZ 85258-4437 Phone: (160) 224-8886 Fax:
VICE PRESIDENT REVENUE CYCLE MGMT
Phone: (602) 248-8886
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2800X - Clinic/Center / Methadone (Primary) |
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| 261QR0405X - Clinic/Center / Rehabilitation, Substance Use Disorder |
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| 261QM0801X - Clinic/Center / Mental Health (Including Community Mental Health Center) |
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| 251S00000X - Community/Behavioral Health |
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| 101YA0400X - Counselor / Addiction (Substance Use Disorder) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.