Organization
VIVENT HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM DYER (EXEC VP)
(866) 525-5484
Entity
Organization
Contact information
Practice address
820 N PLANKINTON AVE, MILWAUKEE, WI 53203-1802
(414) 225-1542
(414) 225-1575
Mailing address
PO BOX 510498, MILWAUKEE, WI 53203-0092
(866) 525-5484
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43089200
—
WI
Enumeration date
01/30/2009
Last updated
05/12/2022
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