| |
500 Commerce Loop Eagle River WI 54521-8038 | |
(715) 479-0400 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 500 Commerce Loop, Eagle River, 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 |
---|---|
1000 N Oak Ave P.o. Box 7900 Marshfield WI 54449-5703 Ph: (715) 389-4574 | 500 Commerce Loop Eagle River WI 54521-8038 Ph: (715) 479-0400 |
NPI Number | 1629412804 |
---|---|
Provider Enumeration Date | 04/18/2013 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629412804 | NPI | - | NPPES |
Nova Integrated Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 W Pine St Ste 2, Eagle River, WI 54521 Phone: 715-891-0088 | |