Vibrant Health Family Clinics | |
1687 E Division St River Falls WI 54022-1571 | |
(715) 425-6701 | |
(715) 426-3994 |
Full Name | Vibrant Health Family Clinics |
---|---|
Speciality | Clinic/Center |
Location | 1687 E Division St, River Falls, Wisconsin |
Authorized Official Name and Position | Kerith W Lijewski (MEDICAL DIRECTOR) |
Authorized Official Contact | 7154256701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vibrant Health Family Clinics 1687 E Division St River Falls WI 54022-1571 Ph: (715) 425-6701 | Vibrant Health Family Clinics 1687 E Division St River Falls WI 54022-1571 Ph: (715) 425-6701 |
NPI Number | 1255324752 |
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Provider Enumeration Date | 08/30/2005 |
Last Update Date | 08/14/2014 |
Medicare PECOS PAC ID | 8224939665 |
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Medicare Enrollment ID | O20040119000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255324752 | NPI | - | NPPES |
32748700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Kerith Lijewski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093708588 PECOS PAC ID: 2961483763 Enrollment ID: I20040527000499 |
Provider Name | Debra M Sanders |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1770696668 PECOS PAC ID: 1951305986 Enrollment ID: I20060906000411 |
Provider Name | Nora C Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467413526 PECOS PAC ID: 0345254678 Enrollment ID: I20080104000097 |
Provider Name | Monica Pesavento |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700064110 PECOS PAC ID: 1254410731 Enrollment ID: I20080826000716 |
Provider Name | Daniel Zimmerman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063405561 PECOS PAC ID: 8527969989 Enrollment ID: I20100712000337 |
Provider Name | Christopher Harry Tashjian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134112634 PECOS PAC ID: 1355242702 Enrollment ID: I20100712000359 |
Provider Name | David M Wilhelm |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386637882 PECOS PAC ID: 6901707355 Enrollment ID: I20100712000371 |
Provider Name | Gregory Goblirsch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821081316 PECOS PAC ID: 8628979077 Enrollment ID: I20100712000377 |
Provider Name | Timothy Franklin Steinmetz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043203540 PECOS PAC ID: 6800797259 Enrollment ID: I20100714000899 |
Provider Name | Jeffrey David Larsen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104819622 PECOS PAC ID: 3173424538 Enrollment ID: I20100715000089 |
Provider Name | Amber R Morgan |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1447479779 PECOS PAC ID: 2567514680 Enrollment ID: I20100824000444 |
Provider Name | Jon V Thomas |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1467453597 PECOS PAC ID: 0547289787 Enrollment ID: I20100831000705 |
Provider Name | Greg J Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568455079 PECOS PAC ID: 3173424520 Enrollment ID: I20101021000289 |
Provider Name | Benjamin R Morgan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750505913 PECOS PAC ID: 1557412103 Enrollment ID: I20130729000919 |
Provider Name | Melissa H Frisvold |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1528041043 PECOS PAC ID: 7517913106 Enrollment ID: I20160107000946 |
Provider Name | Kristen M Gilleo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598766677 PECOS PAC ID: 3779559059 Enrollment ID: I20160310001622 |
Healtheast Medical Research Insititue Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 S Main St, River Falls, WI 54022 Phone: 715-425-6701 Fax: 715-426-3994 | |
Allina Health River Falls Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1617 E Division St, River Falls, WI 54022 Phone: 715-307-6600 | |
Allina Health Specialty Clinic River Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1687 E Division St, River Falls, WI 54022 Phone: 715-307-6405 |