Three Oaks Health S.c. | |
480 Village Walk Ln Ste F Johnson Creek WI 53038-9540 | |
(920) 542-3010 | |
Not Available |
Full Name | Three Oaks Health S.c. |
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Speciality | Family Medicine |
Location | 480 Village Walk Ln Ste F, Johnson Creek, Wisconsin |
Authorized Official Name and Position | James Milford (PROVIDER) |
Authorized Official Contact | 2623371068 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Three Oaks Health S.c. 480 Village Walk Ln Ste F Johnson Creek WI 53038-9540 Ph: (920) 542-3010 | Three Oaks Health S.c. 480 Village Walk Ln Ste F Johnson Creek WI 53038-9540 Ph: (920) 542-3010 |
NPI Number | 1760931026 |
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Provider Enumeration Date | 09/28/2016 |
Last Update Date | 01/11/2017 |
Medicare PECOS PAC ID | 4486935624 |
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Medicare Enrollment ID | O20170103000410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760931026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James A Milford |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548237076 PECOS PAC ID: 6204738438 Enrollment ID: I20040202000344 |
Provider Name | Jenell Lynn Valenzuela |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457798340 PECOS PAC ID: 3274987011 Enrollment ID: I20230927001552 |
Uwhp Wrmc Johnson Creek Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Village Walk Ln, Johnson Creek, WI 53038 Phone: 920-699-6200 |