| Ingalls Family Medicine Clinic Sc | |
|
7456 Main St W Webster WI 54893-8205 | |
| (715) 866-4271 | |
| (715) 866-4284 |
| Full Name | Ingalls Family Medicine Clinic Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 7456 Main St W, Webster, Wisconsin |
| Authorized Official Name and Position | John W Ingalls (OWNER) |
| Authorized Official Contact | 7158664271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingalls Family Medicine Clinic Sc 7456 Main St W Webster WI 54893-8205 Ph: (715) 866-4271 | Ingalls Family Medicine Clinic Sc 7456 Main St W Webster WI 54893-8205 Ph: (715) 866-4271 |
| NPI Number | 1326198367 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326198367 | NPI | - | NPPES |
| 21250000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31328 (Wisconsin) | Primary |
St. Croix Chippewa Indians Of Wisconsin Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4404 State Road 70, Webster, WI 54893 Phone: 715-349-8554 Fax: 715-349-8529 | |
Webster Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26425 Lakeland Avenue South, Webster, WI 54893 Phone: 715-866-4271 Fax: 715-866-4284 |