Full Name | |
---|---|
Speciality | Clinic/center |
Location | 315 W Oak St, Sparta, Wisconsin |
Authorized Official Name and Position | Kari B Adank (CCO) |
Authorized Official Contact | 6087758025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | 315 W Oak St Sparta WI 54656-2150 Ph: (608) 782-7300 |
NPI Number | 1467404483 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 08/06/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467404483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Scenic Bluffs Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Franklin St # B3, Sparta, WI 54656 Phone: 608-654-5100 | |