Organization · Type 2 NPI

Rising Phoenix Heart Institute

Medical Specialty Clinic/Center · West Allis, WI

NPI number 1073940235 Active

Practice location

2323 S 109th St, Suite 195
West Allis, WI 53227-1909

Fax (414) 541-7514

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X34544 (WI)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6 other providers at this address

About NPI 1073940235

Rising Phoenix Heart Institute's National Provider Identifier is 1073940235, issued on Oct 2, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in West Allis, WI. The record was last updated on Oct 2, 2013.