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632 Us Highway 8 W Turtle Lake WI 54889-4411 | |
(715) 822-2741 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 632 Us Highway 8 W, Turtle Lake, Wisconsin |
Authorized Official Name and Position | Emily Dilley (CEO) |
Authorized Official Contact | 7158227252 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1705 16th Ave Cumberland WI 54829-8601 Ph: (715) 822-7500 | 632 Us Highway 8 W Turtle Lake WI 54889-4411 Ph: (715) 822-2741 |
NPI Number | 1952737264 |
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Provider Enumeration Date | 09/18/2013 |
Last Update Date | 03/12/2024 |
Medicare PECOS PAC ID | 7719889203 |
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Medicare Enrollment ID | O20140625001672 |
Identifier | Type | State | Issuer |
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1952737264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |