| Northlakes Community Clinic - Hurley | |
|
115 5th Ave N Hurley WI 54534-1208 | |
| (715) 329-1288 | |
| (715) 329-1334 |
| Full Name | Northlakes Community Clinic - Hurley |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 5th Ave N, Hurley, Wisconsin |
| Authorized Official Name and Position | Reba Rice (CEO) |
| Authorized Official Contact | 7153725001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlakes Community Clinic - Hurley 15735 W Us Highway 63 Hayward WI 54843-6475 Ph: (715) 934-0710 | Northlakes Community Clinic - Hurley 115 5th Ave N Hurley WI 54534-1208 Ph: (715) 329-1288 |
| NPI Number | 1437719267 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 07/30/2021 |
| Medicare PECOS PAC ID | 0840366654 |
|---|---|
| Medicare Enrollment ID | O20191011000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437719267 | NPI | - | NPPES |
| 1811178825 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Aspirus Hurley Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Granite St, Hurley, WI 54534 Phone: 906-561-2255 | |
Aspirus Ironwood Hospital & Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Granite St, Hurley, WI 54534 Phone: 715-561-2255 |