State Medicaid
STATE MEDICAID official legal name STATE MEDICAID is located at 824 LOTHE ST, Sun Prairie, Wisconsin. STATE MEDICAID primary taxonomy is Preferred Provider Organization in the state of Wisconsin.
| Organization Legal Name | STATE MEDICAID |
| NPI | 1891898219 |
| City | Sun Prairie |
| State | Wisconsin |
| Address 1 | 824 LOTHE ST |
| Postal Code | 53590 |
| Phone | 6083340900 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|
| 305R00000X | Managed Care Organizations | Preferred Provider Organization |