Organization
HUMANA INSURANCE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE RENAUDIN (PRESIDENT, MEDICARE AND MEDICAID)
(615) 370-1801
Entity
Organization
Contact information
Practice address
1100 EMPLOYERS BLVD, DE PERE, WI 54115-8187
(502) 580-1000
Mailing address
1100 EMPLOYERS BLVD, DE PERE, WI 54115-8187
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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