OrganizationActive
Humana Insurance Company
NPI 1669250429 · Preferred Provider Organization · De Pere, WI
Provider details
- NPI number
- 1669250429
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- George Renaudin, President, Medicare and Medicaid(615) 370-1801
Specialties & taxonomies
Managed Care Organizations
Practice location
1100 Employers Blvd
De Pere, WI 54115-8187
Phone: (502) 580-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Employers Blvd
De Pere, WI 54115-8187
Registry dates
- Enumerated
- 2023-09-21
- Last updated
- 2023-09-21
- Certified
- 2023-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.