| |
401 W. Main Street Merrill WI 54452 | |
(715) 539-8181 | |
(715) 539-8109 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 401 W. Main Street, Merrill, Wisconsin |
Authorized Official Name and Position | Laura E Scudiere (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7158484884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1810 N 2nd Street Wausau WI 54403 Ph: (715) 848-4884 | 401 W. Main Street Merrill WI 54452 Ph: (715) 539-8181 |
NPI Number | 1265723688 |
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Provider Enumeration Date | 04/20/2011 |
Last Update Date | 04/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265723688 | NPI | - | NPPES |
32956400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mchs Hospitals, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 O Day St, Merrill, WI 54452 Phone: 715-539-0101 | |
Charles Royden Staubs, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Naugart Dr, Merrill, WI 54452 Phone: 715-409-0121 | |