| Northwest Passage Services Inc | |
|
7417 N Bass Lake Rd Webster WI 54893-8688 | |
| (715) 327-7143 | |
| Not Available |
| Full Name | Northwest Passage Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7417 N Bass Lake Rd, Webster, Wisconsin |
| Authorized Official Name and Position | Mark William Elliott (CEO) |
| Authorized Official Contact | 7153277134 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Passage Services Inc 7417 N Bass Lake Rd Webster WI 54893-8688 Ph: (715) 491-6690 | Northwest Passage Services Inc 7417 N Bass Lake Rd Webster WI 54893-8688 Ph: (715) 327-7143 |
| NPI Number | 1508675927 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508675927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |