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53585 Nokomis Rd Ashland WI 54806-4272 | |
(715) 682-7133 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 53585 Nokomis Rd, Ashland, Wisconsin |
Authorized Official Name and Position | June Louise Williams (BILLING/PRC MANAGER) |
Authorized Official Contact | 7156827133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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53585 Nokomis Rd Ashland WI 54806-4272 Ph: (715) 682-7133 | 53585 Nokomis Rd Ashland WI 54806-4272 Ph: (715) 682-7133 |
NPI Number | 1710222989 |
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Provider Enumeration Date | 11/29/2012 |
Last Update Date | 06/03/2024 |
Identifier | Type | State | Issuer |
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1710222989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mainstreet Clinic Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Main St W, Ashland, WI 54806 Phone: 715-682-5601 Fax: 715-682-6878 | |
Ashland Audiology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Beaser Ave, Suite 3, Ashland, WI 54806 Phone: 715-682-9311 Fax: 715-682-9313 | |