| Aspirus Stanley Hospital & Clinics, Inc | |
|
1120 Pine St Stanley WI 54768-1297 | |
| (715) 644-5530 | |
| (715) 644-6223 |
| Full Name | Aspirus Stanley Hospital & Clinics, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 Pine St, Stanley, Wisconsin |
| Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158472526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Stanley Hospital & Clinics, Inc 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Stanley Hospital & Clinics, Inc 1120 Pine St Stanley WI 54768-1297 Ph: (715) 644-5530 |
| NPI Number | 1356311252 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 06/11/2024 |
| Medicare PECOS PAC ID | 8325957095 |
|---|---|
| Medicare Enrollment ID | O20030207000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356311252 | NPI | - | NPPES |
| 43061600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |