| Marshfield Medical Center - Rice Lake | |
|
1700 W Stout St Rice Lake WI 54868-5000 | |
| (715) 236-8100 | |
| Not Available |
| Full Name | Marshfield Medical Center - Rice Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 W Stout St, Rice Lake, Wisconsin |
| Authorized Official Name and Position | Catherine M Bukowski (CFO, AO) |
| Authorized Official Contact | 7153879370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshfield Medical Center - Rice Lake 1000 N Oak Ave Attn: Provider Enrollment Services Shp Fl2 Marshfield WI 54449-5703 Ph: (715) 389-0660 | Marshfield Medical Center - Rice Lake 1700 W Stout St Rice Lake WI 54868-5000 Ph: (715) 236-8100 |
| NPI Number | 1932796992 |
|---|---|
| Provider Enumeration Date | 12/24/2020 |
| Last Update Date | 05/01/2023 |
| Medicare PECOS PAC ID | 6103737820 |
|---|---|
| Medicare Enrollment ID | O20210121000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932796992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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