| Ascension Sacred Heart - St Mary's Hospitals, Inc. | |
|
4348 Hwy B Unit B Land O Lakes WI 54540-9635 | |
| (715) 547-6118 | |
| (715) 547-6647 |
| Full Name | Ascension Sacred Heart - St Mary's Hospitals, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4348 Hwy B, Land O Lakes, Wisconsin |
| Authorized Official Name and Position | Lori Paige Peck (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 7157482988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Sacred Heart - St Mary's Hospitals, Inc. 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Ascension Sacred Heart - St Mary's Hospitals, Inc. 4348 Hwy B Unit B Land O Lakes WI 54540-9635 Ph: (715) 547-6118 |
| NPI Number | 1295404689 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295404689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Aspirus Land O Lakes Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4348 Highway B, Unit B, Land O Lakes, WI 54540 Phone: 715-547-6118 |