| Aspirus Portage Clinic | |
|
2817 New Pinery Rd Portage WI 53901-9240 | |
| (608) 745-4131 | |
| (608) 742-6098 |
| Full Name | Aspirus Portage Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2817 New Pinery Rd, Portage, Wisconsin |
| Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158472526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Portage Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Portage Clinic 2817 New Pinery Rd Portage WI 53901-9240 Ph: (608) 745-4131 |
| NPI Number | 1386154417 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 5799684007 |
|---|---|
| Medicare Enrollment ID | O20171227002588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386154417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Wisconsin) | Primary |
Aspirus Divine Savior Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-742-6098 | |
Cci Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2925 Columbia Dr, Portage, WI 53901 Phone: 608-742-9100 |