| Coulee Health Llc | |
|
N4622 County Road M, West Salem, WI 54669-9522 | |
| (608) 612-0777 | |
| (608) 807-5142 |
| Full Name | Coulee Health Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | N4622 County Road M, West Salem, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407196298 | NPI | - | NPPES |
| 1407196298 | Other | WI | ORGANIZATIONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4770012 (Wisconsin) | Primary |
| Provider Name | Kyle D Boland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427338334 PECOS PAC ID: 2365613064 Enrollment ID: I20130709000703 |
| Provider Name | Erica A Boland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821427774 PECOS PAC ID: 0042450561 Enrollment ID: I20131211001248 |
| Mailing Address | Practice Location Address |
|---|---|
| Coulee Health Llc N4622 County Road M, West Salem, WI 54669-9522 Ph: (608) 612-0777 | Coulee Health Llc N4622 County Road M, West Salem, WI 54669-9522 Ph: (608) 612-0777 |
Groth Chiropractic Clinc Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 Phone: 608-786-3670 Fax: 608-786-3672 | |
Mr. Kevin P Groth, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1540 Heritage Blvd, Suite 203, West Salem, WI 54669 Phone: 608-786-3670 Fax: 608-786-3672 | |
Dr. Kyle David Boland, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: N4622 County Road M, West Salem, WI 54669 Phone: 608-612-0777 Fax: 608-807-5142 | |
Tenniswood Family Chiropractic S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1537 Heritage Blvd, 1537 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-3670 Fax: 608-786-3672 | |
Dr. Erica Boland, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: N4622 County Road M, West Salem, WI 54669 Phone: 608-612-0777 Fax: 608-807-5142 | |
Mrs. Denise Lynn Jones, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 149 S Leonard St, West Salem, WI 54669 Phone: 608-786-1426 Fax: 608-786-0000 |