| Sbh-green Bay Llc | |
|
1351 Ontario Rd Green Bay WI 54311 | |
| (901) 969-3100 | |
| Not Available |
| Full Name | Sbh-green Bay Llc |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 1351 Ontario Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Paul Gilbert (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 6157164924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sbh-green Bay Llc 8295 Tournament Dr Suite 201 Memphis TN 38125-8906 Ph: (901) 969-3100 | Sbh-green Bay Llc 1351 Ontario Rd Green Bay WI 54311 Ph: (901) 969-3100 |
| NPI Number | 1922556778 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 7517248198 |
|---|---|
| Medicare Enrollment ID | O20161220001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922556778 | NPI | - | NPPES |
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