Buffalo River Clinic Sc | |
12830 Cox Lane Osseo WI 54758 | |
(715) 597-6767 | |
(715) 597-2819 |
Full Name | Buffalo River Clinic Sc |
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Speciality | General Practice |
Location | 12830 Cox Lane, Osseo, Wisconsin |
Authorized Official Name and Position | Thomas Screnock (CEO) |
Authorized Official Contact | 7155976767 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Buffalo River Clinic Sc Po Box 398 Osseo WI 54758 Ph: (715) 597-6767 | Buffalo River Clinic Sc 12830 Cox Lane Osseo WI 54758 Ph: (715) 597-6767 |
NPI Number | 1316099161 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9638208721 |
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Medicare Enrollment ID | O20100528000047 |
Identifier | Type | State | Issuer |
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1316099161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Thomas Screnock |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1619932878 PECOS PAC ID: 9436288529 Enrollment ID: I20100528000059 |
Mayo Clinic Health System-oakridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13025 8th St, Osseo, WI 54758 Phone: 715-597-3121 |