| Essentia Health Hayward Clinic | |
|
11134 N State Road 77 Hayward WI 54843-5325 | |
| (715) 634-5505 | |
| Not Available |
| Full Name | Essentia Health Hayward Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 11134 N State Road 77, Hayward, Wisconsin |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Hayward Clinic 11134 N State Road 77 Hayward WI 54843-5325 Ph: (715) 634-5505 | Essentia Health Hayward Clinic 11134 N State Road 77 Hayward WI 54843-5325 Ph: (715) 634-5505 |
| NPI Number | 1528518883 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8628964228 |
|---|---|
| Medicare Enrollment ID | O20170314000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528518883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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