NUTRITION AND HEALTH ASSOCIATESINC. NPI 1265625651

NPI Information

NPI: 1265625651
Provider Name: NUTRITION AND HEALTH ASSOCIATES,INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 52D0392619

Address:
32 E RACINE ST
JANESVILLE, WI
ZIP 53545
Phone: (608) 754-3722
Get Directions

NUTRITION AND HEALTH ASSOCIATES,INC. is a voluntary or charitable in Janesville, WI. NUTRITION AND HEALTH ASSOCIATES,INC. NPI is 1265625651. The provider is registered as an organization entity type.

The provider's business location address is:

32 E RACINE ST
JANESVILLE, WI
ZIP 53545-856
Phone: (608) 754-3722
Fax: (608) 754-3132

The provider's authorized official is Lara R. Hermann .
The authorized official title is Executive Director and has the following contact phone number (608) 754-3722.

The CLIA number assigned to this NPI record is 52D0392619 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 6/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable		8117800	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	42009800	MEDICAID	WISCONSIN
2	44002100	MEDICAID	WISCONSIN
3	41859700	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »