# VIVENT HEALTH INC

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

## Provider details

- **NPI number:** 1982654091
- **Authorized official:** MR. JOANN BERK (SR. DIRECTOR OF CORPORATE SERVICES)
- **Authorized official phone:** (414) 225-1568

## Contact information

- **Practice address:** 1311 N 6TH ST, MILWAUKEE, WI 53212-4006
- **Practice address phone:** (414) 223-6800
- **Practice address fax:** (414) 273-2357
- **Mailing address:** PO BOX 18412, PALATINE, IL 60055-8412
- **Mailing address phone:** (866) 525-5484
- **Mailing address fax:** (833) 394-4961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 03/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32895000 | — | WI |
| 05 | — | 38390700 | — | WI |
| 05 | — | 42228200 | — | WI |
| 05 | — | 43089200 | — | WI |