# CHP-LTS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902060031
- **Authorized official:** KAREN A BULLOCK (CEO)
- **Authorized official phone:** (715) 838-2901

## Contact information

- **Practice address:** 2240 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3410
- **Practice address phone:** (715) 838-2900
- **Practice address fax:** (715) 858-7023
- **Mailing address:** 2240 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3410
- **Mailing address phone:** (715) 838-2900
- **Mailing address fax:** (715) 858-7023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 07/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 69008200 | — | WI |