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2268 N Shore Dr Rhinelander WI 54501-8888 | |
(715) 420-1400 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2268 N Shore Dr, Rhinelander, 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 |
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1307 N Saint Joseph Ave Marshfield WI 54449-1340 Ph: () - | 2268 N Shore Dr Rhinelander WI 54501-8888 Ph: (715) 420-1400 |
NPI Number | 1780376913 |
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Provider Enumeration Date | 05/25/2023 |
Last Update Date | 07/13/2023 |
Medicare PECOS PAC ID | 2466540877 |
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Medicare Enrollment ID | O20230629000915 |
Identifier | Type | State | Issuer |
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1780376913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Priority Medical Partners, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 580 Shepard St, Rhinelander, WI 54501 Phone: 715-420-1831 Fax: 715-420-1829 | |
Wisconsin Gastroenterology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501 Phone: 906-225-3880 Fax: 906-225-4523 | |