| Crivitz Medical Center | |
|
213 S Hwy 141 Crivitz WI 54114 | |
| (715) 732-2075 | |
| (715) 732-2072 |
| Full Name | Crivitz Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 213 S Hwy 141, Crivitz, Wisconsin |
| Authorized Official Name and Position | Charles P Quartana (CEO) |
| Authorized Official Contact | 7157322075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crivitz Medical Center 218 S Hwy 141 Crivitz WI 54114-1677 Ph: (715) 854-7477 | Crivitz Medical Center 213 S Hwy 141 Crivitz WI 54114 Ph: (715) 732-2075 |
| NPI Number | 1548437155 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548437155 | NPI | - | NPPES |
| 43060400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Crivitz Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7477 Fax: 715-854-7785 | |
Bellin Health Crivitz Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7477 Fax: 715-854-7785 |