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1630 Chippewa Dr Rhinelander WI 54501-9503 | |
(715) 361-5480 | |
(715) 361-5499 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1630 Chippewa Dr, Rhinelander, 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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29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | 1630 Chippewa Dr Rhinelander WI 54501-9503 Ph: (715) 361-5480 |
NPI Number | 1316616683 |
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Provider Enumeration Date | 09/09/2021 |
Last Update Date | 06/10/2024 |
Medicare PECOS PAC ID | 9335059856 |
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Medicare Enrollment ID | O20220106002041 |
Identifier | Type | State | Issuer |
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1316616683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Priority Medical Partners, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 580 Shepard St, Rhinelander, WI 54501 Phone: 715-420-1831 Fax: 715-420-1829 | |
Wisconsin Gastroenterology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501 Phone: 906-225-3880 Fax: 906-225-4523 | |