MOLINA HEALTHCARE OF WISCONSIN
NPI 1700022936
Health Maintenance Organization in West Allis, WI

Active since December 17, 2008
2400 S 102ND ST, SUITE 105, WEST ALLIS, WI 53227(414) 847-1766(414) 847-1778 Get Directions Write a Review

NPPES record last updated: May 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Molina Healthcare Of Wisconsin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLINA HEALTHCARE OF WISCONSIN (NPI 1700022936) is a healthcare organization registered as a health maintenance organization in West Allis, Wisconsin and active in the NPI registry since December 2008. The organization lists Stephen M Harris, Plan President, as its authorized official.

NPPES Registry Identity

NPI1700022936
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameMOLINA HEALTHCARE OF WISCONSIN
Location Address2400 S 102ND ST, SUITE 105West Allis, WI 53227-2132
Mailing Address2400 S 102nd St, Suite 105West Allis, WI 53227-2132 · (414) 847-1766 · Fax (414) 847-1778
Fax(414) 847-1778
Organization SubpartYesParent: Molina Healthcare, Inc
Authorized OfficialStephen M HarrisPlan President · (414) 847-1765
Enumeration DateDecember 17, 2008
Last NPPES UpdateMay 18, 2011
NPI 1700022936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in WI · 18011
Definition

(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

2400 S 102ND ST, West Allis, WI 53227

Other Identifiers 1

Medicaid69004600WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molina Healthcare Of Wisconsin's NPI number?

The NPI number for Molina Healthcare Of Wisconsin is 1700022936. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is Molina Healthcare Of Wisconsin located?

Molina Healthcare Of Wisconsin is located at 2400 S 102nd St Suite 105, West Allis, WI 53227. The listed phone number is (414) 847-1766.

What is Molina Healthcare Of Wisconsin's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Molina Healthcare Of Wisconsin was last updated on May 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.