Organization
PARTNERSHIP HEALTH PLAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN A BULLOCK (CEO)
(715) 838-2901
Entity
Organization
Contact information
Practice address
2240 EASTRIDGE CTR, EAU CLARIE, WI 54701-3410
(715) 838-2900
(715) 838-2910
Mailing address
2240 EASTRIDGE CTR, EAU CLARIE, WI 54701-3410
(715) 838-2900
(715) 838-2910
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69005200
—
WI
Enumeration date
07/20/2006
Last updated
09/05/2007
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