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501 Granite St Hurley WI 54534-1372 | |
(906) 561-2255 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 501 Granite St, Hurley, Wisconsin |
Authorized Official Name and Position | Jerry M Hack (SVP & CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7158472526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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29980 Network Pl Chicago IL 60673-1299 Ph: (906) 561-2255 | 501 Granite St Hurley WI 54534-1372 Ph: (906) 561-2255 |
NPI Number | 1134547714 |
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Provider Enumeration Date | 04/01/2014 |
Last Update Date | 06/07/2024 |
Identifier | Type | State | Issuer |
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1134547714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |