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1040 Division St Mauston WI 53948-1931 | |
(608) 847-6161 | |
(608) 847-2079 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1040 Division St, Mauston, Wisconsin |
Authorized Official Name and Position | James M Okeefe (PRESIDENT) |
Authorized Official Contact | 6088476161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1040 Division St Mauston WI 53948-1931 Ph: (608) 847-6161 | 1040 Division St Mauston WI 53948-1931 Ph: (608) 847-6161 |
NPI Number | 1881930527 |
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Provider Enumeration Date | 12/28/2012 |
Last Update Date | 11/13/2014 |
Medicare PECOS PAC ID | 8527971399 |
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Medicare Enrollment ID | O20130117000240 |
Identifier | Type | State | Issuer |
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1881930527 | NPI | - | NPPES |
Ptworks Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 690 Kennedy Street, Mauston, WI 53948 Phone: 608-847-5100 Fax: 608-847-5110 |