| Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin | |
|
375 Main St Birnamwood WI 54414-9259 | |
| (715) 449-2539 | |
| Not Available |
| Full Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin |
|---|---|
| Speciality | Clinic/Center |
| Location | 375 Main St, Birnamwood, 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 |
|---|---|
| Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2526 | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin 375 Main St Birnamwood WI 54414-9259 Ph: (715) 449-2539 |
| NPI Number | 1063574184 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 1557271202 |
|---|---|
| Medicare Enrollment ID | O20131209000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063574184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (Wisconsin) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Wisconsin) | Primary |