Look up the most recent NPI and PECOS records

Milwaukee Center For Independence Inc

(Whole Health Clinical Group)

Clinic/Center

Ambulatory Health Care Facilities

2020 W Wells St, Milwaukee, WI 53233-2720

PECOS Enrollment

Based on the most recent information from CMS, provider Milwaukee Center For Independence Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1750326518
Provider Type
Organization
Full Name
Milwaukee Center For Independence Inc
Other Name
Whole Health Clinical Group

Subpart
Yes
Enumeration Date
6/17/2006
Last Updated
5/8/2024

Contact Information

Practice Location

2020 W Wells St, Milwaukee, WI 53233-2720

(414) 476-9675

(414) 476-9615

Mailing Location

2020 W Wells St, Milwaukee, WI 53233-2720

(414) 476-9675

(414) 557-1834

Authorized Official

Maule, Andrew (Director Of Business Operations)

(608) 692-9495

Provider Taxonomies

Code	Description	License
Code 261QM0801X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License 1933 Wisconsin
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103G00000X	Description Clinical Neuropsychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103T00000X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TC0700X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TH0004X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 103TR0400X	Description Psychologist Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 163WP0809X	Description Registered Nurse Nursing Service Providers	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 251S00000X	Description Community/Behavioral Health Agencies	License Unlisted Issuer
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 364SP0808X	Description Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID DD9253	Description Other	Issuer RAILROAD MEDICARE PART B Wisconsin
ID 42128300	Description Medicaid	Issuer Unlisted Wisconsin

Milwaukee Center For Independence Inc

(Whole Health Clinical Group)

PECOS Enrollment

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