Provider Demographics
NPI:1992877179
Name:CARE WISCONSIN FIRST, INC.
Entity type:Organization
Organization Name:CARE WISCONSIN FIRST, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIDL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-245-3573
Mailing Address - Street 1:1617 SHERMAN AVENUE
Mailing Address - Street 2:P.O. BOX 14017
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53708-0017
Mailing Address - Country:US
Mailing Address - Phone:608-240-0020
Mailing Address - Fax:608-245-3077
Practice Address - Street 1:2802 INTERNATIONAL LN
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3124
Practice Address - Country:US
Practice Address - Phone:608-240-0020
Practice Address - Fax:608-245-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization