Aspirus Stanley Clinic | |
1120 Pine St Stanley WI 54768-1297 | |
(715) 644-5530 | |
(715) 644-6223 |
Full Name | Aspirus Stanley Clinic |
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Speciality | Clinic/Center |
Location | 1120 Pine St, Stanley, 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 Stanley Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Stanley Clinic 1120 Pine St Stanley WI 54768-1297 Ph: (715) 644-5530 |
NPI Number | 1356311252 |
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Provider Enumeration Date | 01/24/2006 |
Last Update Date | 06/11/2024 |
Medicare PECOS PAC ID | 8325957095 |
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Medicare Enrollment ID | O20030207000040 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356311252 | NPI | - | NPPES |
43061600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |