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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEDICAID

Active Organization

MEDICAID 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 RD
MENASHA, WI, 549521505
Browse 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.