Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEDICAID
Active OrganizationMEDICAID is a Custodial Care Facility organization located in MENASHA, Wisconsin. NPI 1336109776 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · MENASHA, WI
Registration Details
- NPI Number
- 1336109776
- Provider Type
- Organization
- NPI Issued
- Mar 27, 2006 (20.40047017127 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
1125 GENEVA RDMENASHA, WI, 549521505Browse WI providers · Browse ZIP 54952
- Phone
- 9204508323
- Primary Specialty
-
Custodial Care Facility
311Z00000X
- Additional Specialty
- Custodial Care Facility
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.