Aspirus Owen Clinic | |
6 Johnson St Owen WI 54460 | |
(715) 229-2177 | |
(715) 229-4450 |
Full Name | Aspirus Owen Clinic |
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Speciality | Clinic/Center |
Location | 6 Johnson St, Owen, Wisconsin |
Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7158472526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aspirus Owen Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Owen Clinic 6 Johnson St Owen WI 54460 Ph: (715) 229-2177 |
NPI Number | 1700866399 |
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Provider Enumeration Date | 01/19/2006 |
Last Update Date | 06/11/2024 |
Medicare PECOS PAC ID | 8325957095 |
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Medicare Enrollment ID | O20030207000035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700866399 | NPI | - | NPPES |
43060900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |