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1010 Olive Ave Florence WI 54121-2702 | |
(800) 380-7411 | |
(715) 528-5592 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1010 Olive Ave, Florence, Wisconsin |
Authorized Official Name and Position | Kathleen Bressler (COO, AO) |
Authorized Official Contact | 7159756018 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1000 N Oak Ave Attn: Provider Enrollment Coordinator Shp Fl 2 Marshfield WI 54449-5703 Ph: (715) 389-0660 | 1010 Olive Ave Florence WI 54121-2702 Ph: (800) 380-7411 |
NPI Number | 1336183052 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 6800784943 |
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Medicare Enrollment ID | O20100322000759 |
Identifier | Type | State | Issuer |
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1336183052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |