Necedah Family Medical Center | |
1408 Wheelihan Ave Necedah WI 54646-8253 | |
(608) 847-6161 | |
(608) 847-6161 |
Full Name | Necedah Family Medical Center |
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Speciality | Clinic/Center |
Location | 1408 Wheelihan Ave, Necedah, Wisconsin |
Authorized Official Name and Position | James 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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Necedah Family Medical Center 1408 Wheelihan Ave Necedah WI 54646-8253 Ph: (608) 847-6161 | Necedah Family Medical Center 1408 Wheelihan Ave Necedah WI 54646-8253 Ph: (608) 847-6161 |
NPI Number | 1447397492 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 01/15/2013 |
Medicare PECOS PAC ID | 8527971399 |
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Medicare Enrollment ID | O20080702000586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447397492 | NPI | - | NPPES |
43054600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 134 (Wisconsin) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 134 (Wisconsin) | Secondary |