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201 S Main St Memorial Medical Center Greenwood WI 54437-9733 | |
(715) 267-3200 | |
(715) 267-3201 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 201 S Main St, Greenwood, Wisconsin |
Authorized Official Name and Position | Scott Polenz (ADMINISTRATOR) |
Authorized Official Contact | 7157433101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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216 Sunset Pl Memorial Medical Center Neillsville WI 54456-1706 Ph: (715) 743-3101 | 201 S Main St Memorial Medical Center Greenwood WI 54437-9733 Ph: (715) 267-3200 |
NPI Number | 1659360097 |
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Provider Enumeration Date | 10/18/2005 |
Last Update Date | 05/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659360097 | NPI | - | NPPES |
43051900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |