Molina Healthcare of Wisconsin
Molina Healthcare of Wisconsin is a Health Maintenance Organization in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
Practice location Address checks out
2400 S 102nd St Ste 105West Allis, WI 53227-2132
Phone: (414) 847-1766
Fax: (414) 847-1778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 18011 (WI) |
|---|
Record details
| NPI number | 1700022936 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Molina Healthcare, Inc |
| Authorized official | Stephen Harris — Plan President · (414) 847-1765 |
| NPI enumerated | December 17, 2008 |
| Last updated in NPPES | May 18, 2011 |
| Mailing address | 2400 S 102nd St, Suite 105, West Allis, WI 53227-2132 |
Other providers in West Allis
-
Managed Health Services Insurance Corp
801 S 60th St, West Allis, WI 53214-9800 · (414) 345-4620