institution
Southport Healthcare Llc
Community Health Clinic/Center in Kenosha, Wisconsin
NPI 1740906874

Southport Healthcare Llc is a Community Health Clinic/Center based in Kenosha, WI and is specialized in Community Health. Southport Healthcare Llc practices in Kenosha, WI. The NPI Number for Southport Healthcare Llc is 1740906874 and holds a License No. (Wisconsin).

The current practice location address for Southport Healthcare Llc is 600 52Nd St Ste 300, Kenosha, WI and can be reached out via phone at 262-656-8400.

Location: 600 52Nd St Ste 300, Kenosha, WI, 53140-3423
institution
Provider Profile Details
NPI Number
1740906874
Provider Name
Southport Healthcare Llc
Credential
Provider Entity Type
Organization
Address
600 52Nd St Ste 300, Kenosha, WI, 53140-3423
Phone Number
262-656-8400
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
600 52Nd St Ste 300
City
State
Zip
53140-3423
Phone Number
262-656-8400
Fax Number
person
Provider Business Mailing Address Details
Address
600 52Nd St Ste 300
City
State
Zip
53140-3423
Phone Number
262-656-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
()
Definition
Definition to come...
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