| Northwest Journey - Ellsworth | |
|
N6096 530th St Ellsworth WI 54011-5107 | |
| (715) 273-0203 | |
| (715) 273-0344 |
| Full Name | Northwest Journey - Ellsworth |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | N6096 530th St, Ellsworth, Wisconsin |
| Authorized Official Name and Position | Nick Kalambokidis (CFO) |
| Authorized Official Contact | 7153274402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Journey - Ellsworth N6096 530th St Ellsworth WI 54011-5107 Ph: (715) 273-0203 | Northwest Journey - Ellsworth N6096 530th St Ellsworth WI 54011-5107 Ph: (715) 273-0203 |
| NPI Number | 1306965033 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306965033 | NPI | - | NPPES |
| 43006700 | Medicaid | WI | |
| 7H956NO | Other | MN | BCBS OF MN |
| 42626 | Other | MN | HEALTH PARTNERS |
| 1306965033 | Other | WI | HUMANA |
| 85575 | Other | MN | PREFERRED ONE |
| 1306965033 | Other | WI | VALUE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 2326 (Wisconsin) | Primary |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 West Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne St, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 | |
A Brighter Tomorrow Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: N6088 1000th St, Ellsworth, WI 54011 Phone: 651-491-5745 | |
Pierce County Dept Of Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Kinne Street, Ellsworth, WI 54011 Phone: 715-273-6770 Fax: 715-273-6862 |