| Medford Dental Center | |
|
843 W Broadway Ave Medford WI 54451-1307 | |
| (715) 233-6800 | |
| Not Available |
| Full Name | Medford Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 843 W Broadway Ave, Medford, 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 |
|---|---|
| Medford Dental Center 1307 N Saint Joseph Ave Marshfield WI 54449-1340 Ph: () - | Medford Dental Center 843 W Broadway Ave Medford WI 54451-1307 Ph: (715) 233-6800 |
| NPI Number | 1689366759 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 07/13/2023 |
| Medicare PECOS PAC ID | 2466540877 |
|---|---|
| Medicare Enrollment ID | O20230621001765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689366759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Memorial Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-8197 | |
Taylor County Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Family Health Center Of Marshfield, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 W Broadway Ave, Medford, WI 54451 Phone: 715-785-8100 Fax: 715-785-7011 | |
Aspirus Medford Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-8199 | |
Vladimir Uhri Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Gibson Ave, Medford, WI 54451 Phone: 715-748-5353 Fax: 715-748-7582 | |
Taylor County Human Services Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 |