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11040 N State Road 77 Hayward WI 54843-3606 | |
(715) 934-4245 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 11040 N State Road 77, Hayward, Wisconsin |
Authorized Official Name and Position | Heather Sheehan (CHIEF OPERATING OFFICE) |
Authorized Official Contact | 7159344245 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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11040 N State Road 77 Hayward WI 54843-3606 Ph: () - | 11040 N State Road 77 Hayward WI 54843-3606 Ph: (715) 934-4245 |
NPI Number | 1386316537 |
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Provider Enumeration Date | 10/05/2021 |
Last Update Date | 11/22/2023 |
Medicare PECOS PAC ID | 9436061363 |
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Medicare Enrollment ID | O20211026003000 |
Identifier | Type | State | Issuer |
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1386316537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ashland Audiology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-682-9311 Fax: 715-682-9313 | |
Northwoods Chiropractic Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15614 Windrose Ln, Suite 300, Hayward, WI 54843 Phone: 715-634-9911 Fax: 715-634-9911 | |