Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1711 York St, Bloomer, Wisconsin |
Authorized Official Name and Position | Gregory R. Nycz (DIRECTOR OF FAMILY HEALTH CENTER) |
Authorized Official Contact | 7153879137 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 N Oak Ave P.o. Box 7900 Marshfield WI 54449-5703 Ph: (715) 389-4574 | 1711 York St Bloomer WI 54724-1902 Ph: (715) 568-6220 |
NPI Number | 1841634003 |
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Provider Enumeration Date | 04/18/2013 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841634003 | NPI | - | NPPES |