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3500 Hoover Rd Stevens Point WI 54481-5600 | |
(715) 342-7900 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 3500 Hoover Rd, Stevens Point, 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 | 3500 Hoover Rd Stevens Point WI 54481-5600 Ph: (715) 342-7900 |
NPI Number | 1306515671 |
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Provider Enumeration Date | 09/09/2021 |
Last Update Date | 06/07/2024 |
Medicare PECOS PAC ID | 9335059856 |
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Medicare Enrollment ID | O20220106001684 |
Identifier | Type | State | Issuer |
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1306515671 | 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 |
Anovia Health Ins, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2417 Post Rd, Stevens Point, WI 54481 Phone: 715-883-3200 Fax: 715-544-0908 | |
605 Sport And Spine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2212 Division St, Stevens Point, WI 54481 Phone: 715-544-6364 | |