Partnership Community Health Center, Inc | |
5337 W Grande Market Dr Appleton WI 54913-8442 | |
(920) 731-7445 | |
Not Available |
Full Name | Partnership Community Health Center, Inc |
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Speciality | Clinic/Center |
Location | 5337 W Grande Market Dr, Appleton, Wisconsin |
Authorized Official Name and Position | Kristene Stacker (CEO) |
Authorized Official Contact | 9207317445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Partnership Community Health Center, Inc 5337 W Grande Market Dr Appleton WI 54913-8442 Ph: (920) 731-7445 | Partnership Community Health Center, Inc 5337 W Grande Market Dr Appleton WI 54913-8442 Ph: (920) 731-7445 |
NPI Number | 1225074008 |
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Provider Enumeration Date | 06/21/2006 |
Last Update Date | 02/22/2024 |
Medicare PECOS PAC ID | 2062452600 |
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Medicare Enrollment ID | O20050503001232 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225074008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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