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State Medicaid
Preferred Provider Organization in Sun Prairie, Wisconsin
NPI 1891898219

State Medicaid is a Preferred Provider Organization based in Sun Prairie, WI. State Medicaid practices in Sun Prairie, WI. The NPI Number for State Medicaid is 1891898219 and holds a License No. (Wisconsin).

The current practice location address for State Medicaid is 824 Lothe St, Sun Prairie, WI and can be reached out via phone at 608-334-0900.

Location: 824 Lothe St, Sun Prairie, WI, 53590-2710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891898219
Provider Name
State Medicaid
Credential
Provider Entity Type
Organization
Address
824 Lothe St, Sun Prairie, WI, 53590-2710
Phone Number
608-334-0900
Fax Number
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
824 Lothe St
City
Sun Prairie
State
Wisconsin
Zip
53590-2710
Phone Number
608-334-0900
Fax Number
person
Provider Business Mailing Address Details
Address
824 Lothe St
City
Sun Prairie
State
Wisconsin
Zip
53590-2710
Phone Number
608-334-0900
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
(Wisconsin)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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