| |
3603 Schneider Ave Se Menomonie WI 54751-5674 | |
(715) 233-6400 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3603 Schneider Ave Se, Menomonie, 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 | 3603 Schneider Ave Se Menomonie WI 54751-5674 Ph: (715) 233-6400 |
NPI Number | 1497155808 |
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Provider Enumeration Date | 09/04/2014 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
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1497155808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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