| Organization Name: | NCS HEALTHCARE OF WISCONSIN, LLC |
| NPI Number: | 1043312044 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Mailing Address: | 3235 Airport Rd La Crosse |
| State: | WI US |
| Postal Code: | 546031256 |
| Phone Number: | 6087817900 |
| Fax Number: | 6087817119 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 11/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 8474-042 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |