OrganizationActive
Independent Care Health Plan
NPI 1760648513 · Health Maintenance Organization · Milwaukee, WI
Provider details
- NPI number
- 1760648513
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Patricia Jerominski, President and Ceo(414) 223-4847
Specialties & taxonomies
Managed Care Organizations
Practice location
1555 N Rivercenter Dr
Suite 202a
Milwaukee, WI 53212-3981
Phone: (414) 223-4847
Fax: (414) 231-1092
Approximate (ZIP-level) locationGet directions
Mailing address
1555 N Rivercenter Dr
Milwaukee, WI 53212-3981
Registry dates
- Enumerated
- 2008-07-31
- Last updated
- 2008-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.