La Pointe Community Clinic Inc | |
241 Big Bay Road La Pointe WI 54850 | |
(715) 747-2722 | |
Not Available |
Full Name | La Pointe Community Clinic Inc |
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Speciality | Family Medicine |
Location | 241 Big Bay Road, La Pointe, Wisconsin |
Authorized Official Name and Position | Margie A Frederickson (CLINIC MANAGER) |
Authorized Official Contact | 7157472722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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La Pointe Community Clinic Inc 241 Big Bay Road Po Box 45 La Pointe WI 54850 Ph: (715) 747-2722 | La Pointe Community Clinic Inc 241 Big Bay Road La Pointe WI 54850 Ph: (715) 747-2722 |
NPI Number | 1003079740 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 04/16/2019 |
Medicare PECOS PAC ID | 4789745860 |
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Medicare Enrollment ID | O20121012000640 |
Identifier | Type | State | Issuer |
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1003079740 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Margie A Frederickson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336195536 PECOS PAC ID: 4789697814 Enrollment ID: I20060713000149 |
Provider Name | Jerry L. Browne |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538141734 PECOS PAC ID: 9931130317 Enrollment ID: I20190624001079 |
Provider Name | Margaret S Myhre |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255893574 PECOS PAC ID: 9032444005 Enrollment ID: I20190712001549 |
Provider Name | Gina L Hand-eoloff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477194777 PECOS PAC ID: 8527494863 Enrollment ID: I20240614001236 |