| Northwood's Guidance Center | |
|
705 E Timber Dr Rhinelander WI 54501-2859 | |
| (715) 362-7463 | |
| (715) 369-4577 |
| Full Name | Northwood's Guidance Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 705 E Timber Dr, Rhinelander, Wisconsin |
| Authorized Official Name and Position | Ann M Cleereman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7153692215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwood's Guidance Center 705 E Timber Dr P.o. Box 897 Rhinelander WI 54501-2859 Ph: (715) 362-7463 | Northwood's Guidance Center 705 E Timber Dr Rhinelander WI 54501-2859 Ph: (715) 362-7463 |
| NPI Number | 1215985403 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 11/20/2014 |
| Medicare PECOS PAC ID | 9436223062 |
|---|---|
| Medicare Enrollment ID | O20080801000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215985403 | NPI | - | NPPES |
| 42137800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Koti R Mannem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720188717 PECOS PAC ID: 7911964200 Enrollment ID: I20041218000041 |
| Provider Name | Ekaterina Hossny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750776480 PECOS PAC ID: 2264778893 Enrollment ID: I20230905002589 |
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