| Ladysmith Dental Center | |
|
315 Miner Ave W Ladysmith WI 54848-1725 | |
| (715) 532-2500 | |
| Not Available |
| Full Name | Ladysmith Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 Miner Ave W, Ladysmith, Wisconsin |
| Authorized Official Name and Position | Kymberli Darracott (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2626545555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ladysmith Dental Center 1307 N Saint Joseph Ave Marshfield WI 54449-1340 Ph: () - | Ladysmith Dental Center 315 Miner Ave W Ladysmith WI 54848-1725 Ph: (715) 532-2500 |
| NPI Number | 1386336436 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 2466540877 |
|---|---|
| Medicare Enrollment ID | O20240419000830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386336436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marshfield Medical Center - Ladysmith Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Family Health Center Of Marshfield, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W 5th St S, Ladysmith, WI 54848 Phone: 715-532-2373 | |
Marshfield Clinic Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2323 | |
Family Health Center/marshfield Clinic-ladysmith Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Rusk County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561 Fax: 715-532-3025 | |
Oakleaf Clinics Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Lake Ave W, Ladysmith, WI 54848 Phone: 715-552-9784 |