| |
1931 N 8th St Sheboygan WI 53081-2740 | |
(920) 783-6633 | |
(920) 783-6392 |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 1931 N 8th St, Sheboygan, Wisconsin |
Authorized Official Name and Position | David Hughes (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9207836633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 959 Sheboygan WI 53082-0959 Ph: (920) 783-6633 | 1931 N 8th St Sheboygan WI 53081-2740 Ph: (920) 783-6633 |
NPI Number | 1578990578 |
---|---|
Provider Enumeration Date | 10/04/2013 |
Last Update Date | 09/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578990578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marsho Family Medical Group, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-451-3214 | |
Lakeshore Community Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 Saemann Avenue, Sheboygan, WI 53081 Phone: 920-783-6633 Fax: 920-783-6392 | |
Aurora Health Care Central, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5000 | |