Provider Demographics
NPI:1386467736
Name:SLEEP HEALTH WISCONSIN LLC
Entity type:Organization
Organization Name:SLEEP HEALTH WISCONSIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL CLINIC COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-425-4140
Mailing Address - Street 1:1052 BEL AIRE CT
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-5015
Mailing Address - Country:US
Mailing Address - Phone:920-499-2121
Mailing Address - Fax:
Practice Address - Street 1:3143 STATE RD STE 201
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-6964
Practice Address - Country:US
Practice Address - Phone:608-788-6939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No122300000XDental ProvidersDentistGroup - Single Specialty