| Red Cliff Community Health Center | |
|
36745 Aiken Rd Bayfield WI 54814-4579 | |
| (715) 779-3707 | |
| (715) 779-3362 |
| Full Name | Red Cliff Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 36745 Aiken Rd, Bayfield, Wisconsin |
| Authorized Official Name and Position | Diane Erickson (HEALTH SERVICES ADMINISTRATOR) |
| Authorized Official Contact | 7157793707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Cliff Community Health Center 36745 Aiken Rd Bayfield WI 54814-4579 Ph: (715) 779-3707 | Red Cliff Community Health Center 36745 Aiken Rd Bayfield WI 54814-4579 Ph: (715) 779-3707 |
| NPI Number | 1497744015 |
|---|---|
| Provider Enumeration Date | 10/17/2005 |
| Last Update Date | 02/24/2023 |
| Certification Date | 02/24/2023 |
| Medicare PECOS PAC ID | 4284537580 |
|---|---|
| Medicare Enrollment ID | O20040202000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497744015 | NPI | - | NPPES |
| CS3144 | Other | RR RETIREMENT PALMETTO | |
| 32956200 | Medicaid | WI | |
| 44004200 | Medicaid | WI | |
| 10170-001 | Other | GROUP PLAN # DENTAL |
| Provider Name | David C Larsen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235125204 PECOS PAC ID: 1254237472 Enrollment ID: I20031209000802 |
| Provider Name | Shannon S Meyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316933542 PECOS PAC ID: 4486550613 Enrollment ID: I20031209000837 |
| Provider Name | Guillermo E Gonzalez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023114246 PECOS PAC ID: 4183691660 Enrollment ID: I20040914000697 |
| Provider Name | Ryan T Degerstrom |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093769333 PECOS PAC ID: 6800795030 Enrollment ID: I20150826000074 |
| Provider Name | Tiffany A Darling |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871671735 PECOS PAC ID: 0042508889 Enrollment ID: I20161012000040 |
| Provider Name | Ann E Reitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538197108 PECOS PAC ID: 5294782405 Enrollment ID: I20180804000095 |
| Provider Name | Anthony P Tranchita |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437139847 PECOS PAC ID: 1052621208 Enrollment ID: I20191126001812 |
| Provider Name | Mark A Fuller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124055561 PECOS PAC ID: 3577587351 Enrollment ID: I20220719002767 |
| Provider Name | Kristan A Wegerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457301152 PECOS PAC ID: 8325189277 Enrollment ID: I20230405002776 |
| Provider Name | Tina A Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295798445 PECOS PAC ID: 2264577279 Enrollment ID: I20230620002288 |
| Provider Name | Kathryn A Stolp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992785075 PECOS PAC ID: 2163514050 Enrollment ID: I20230814002262 |
Red Cliff Aoda Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37390 N Bradum Rd, Bayfield, WI 54814 Phone: 715-779-3741 Fax: 715-779-3765 | |
Red Cliff Community Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88455 Pike Road, Bayfield, WI 54814 Phone: 715-779-3707 Fax: 715-779-3711 | |
Valley Birch, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 249 Rittenhouse Avenue, Bayfield, WI 54814 Phone: 715-779-5678 | |
The Equine Connection Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 93600 Little Sand Bay Rd, Bayfield, WI 54814 Phone: 715-600-0346 |