Medvidi Health | |
N168w20379 Main St # 1008 Jackson WI 53037-9370 | |
(504) 414-5095 | |
Not Available |
Full Name | Medvidi Health |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | N168w20379 Main St # 1008, Jackson, Wisconsin |
Authorized Official Name and Position | Laura E Purdy (CEO) |
Authorized Official Contact | 9106448373 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medvidi Health 4010 Moorpark Ave Ste 114 San Jose CA 95117-1804 Ph: (415) 966-0848 | Medvidi Health N168w20379 Main St # 1008 Jackson WI 53037-9370 Ph: (504) 414-5095 |
NPI Number | 1245089838 |
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Provider Enumeration Date | 05/15/2024 |
Last Update Date | 05/15/2024 |
Certification Date | 05/15/2024 |
Identifier | Type | State | Issuer |
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1245089838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Christian Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3399 Division Rd, Jackson, WI 53037 Phone: 800-438-1772 Fax: 262-293-9737 |