| |
200 West North St. Norwalk WI 54648-0228 | |
(608) 654-5100 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 200 West North St., Norwalk, Wisconsin |
Authorized Official Name and Position | Kim Hawthorne (CEO) |
Authorized Official Contact | 6086545100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 39 Cashton WI 54619-0039 Ph: (608) 654-5100 | 200 West North St. Norwalk WI 54648-0228 Ph: (608) 654-5100 |
NPI Number | 1588639736 |
---|---|
Provider Enumeration Date | 02/21/2006 |
Last Update Date | 09/13/2024 |
Medicare PECOS PAC ID | 8325098296 |
---|---|
Medicare Enrollment ID | O20070904000738 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588639736 | NPI | - | NPPES |
32955800 | Medicaid | WI |