Organization
LA SANTE WISCONSIN INC.
Active
Other names
HME Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JAROD HUSMANN (PRESIDENT)
(920) 884-5327
Entity
Organization
Contact information
Practice address
2021 RIVERSIDE DR, GREEN BAY, WI 54301-2320
(920) 465-3000
(920) 465-3003
Mailing address
PO BOX 1415, GREEN BAY, WI 54305-1415
(920) 465-3000
(920) 465-3003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2584-45
WI
332BX2000X
Oxygen Equipment & Supplies (DME)
2584-45
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41641300
—
WI
Enumeration date
08/30/2005
Last updated
02/27/2026
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