Organization
MANAGED HEALTH SERVICES INSURANCE CORP.
Active
Parent organization
CENTENE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTENE CORPORATION
Authorized official
KENNETH KOSHOREK (STAFF VICE PRESIDENT)
(313) 720-5567
Entity
Organization
Contact information
Practice address
801 S 60TH ST, WEST ALLIS, WI 53214-9800
(414) 345-4620
(414) 259-2153
Mailing address
1205 S 70TH ST, WEST ALLIS, WI 53214-3167
(414) 345-4620
(414) 259-2153
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
HMO 69002400
WI
Other
Enumeration date
07/30/2007
Last updated
04/22/2024
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