| Rusk County Csp | |
|
219 W 2nd St North Lady Smith WI 54848 | |
| (715) 532-5940 | |
| (715) 532-5947 |
| Full Name | Rusk County Csp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 219 W 2nd St North, Lady Smith, Wisconsin |
| Authorized Official Name and Position | Pamela Olson (CLINICAL COORDINATOR) |
| Authorized Official Contact | 7155325940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rusk County Csp 219 W 2nd St North Ladysmith WI 54848 Ph: (715) 532-5940 | Rusk County Csp 219 W 2nd St North Lady Smith WI 54848 Ph: (715) 532-5940 |
| NPI Number | 1053586412 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053586412 | NPI | - | NPPES |
| 43429800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Wisconsin) | Primary |