| Shawano County Health Department | |
|
311 N Main St Rm 7 Shawano WI 54166-2145 | |
| (715) 526-4808 | |
| (715) 524-5792 |
| Full Name | Shawano County Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 N Main St Rm 7, Shawano, Wisconsin |
| Authorized Official Name and Position | Rebecca Hovarter (HEALTH OFFICER) |
| Authorized Official Contact | 7155264805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawano County Health Department 311 N Main St Rm 7 Shawano WI 54166-2145 Ph: (715) 526-4808 | Shawano County Health Department 311 N Main St Rm 7 Shawano WI 54166-2145 Ph: (715) 526-4808 |
| NPI Number | 1174716385 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 3779594874 |
|---|---|
| Medicare Enrollment ID | O20120503000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174716385 | NPI | - | NPPES |
| 41851200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Thedacare Physicians Shawano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E Green Bay St, Shawano, WI 54166 Phone: 920-996-3298 | |
Pai Participant 23 Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1475 Birch Hill Ln, Shawano, WI 54166 Phone: 715-526-3161 | |
Thedacare Medical Center - Shawano, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-524-2161 Fax: 715-524-8164 |