Provider Demographics
NPI:1639235443
Name:WEB CAST INDUSTRIES INC.
Entity Type:Organization
Organization Name:WEB CAST INDUSTRIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-447-6062
Mailing Address - Street 1:3008 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2618
Mailing Address - Country:US
Mailing Address - Phone:414-447-6062
Mailing Address - Fax:414-873-9583
Practice Address - Street 1:3008 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2618
Practice Address - Country:US
Practice Address - Phone:414-447-6062
Practice Address - Fax:414-873-9583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI41757300332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41757300Medicaid
MN593198000Other(MHCP) MINNESOTA HEALTH CARE PROGRAMS
WI5834330001Medicare NSC