| Oconto Hospital & Medical Center Inc | |
|
15481 Commercial Rd Ste E Lakewood WI 54138-9677 | |
| (715) 276-9048 | |
| (920) 445-7289 |
| Full Name | Oconto Hospital & Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15481 Commercial Rd Ste E, Lakewood, Wisconsin |
| Authorized Official Name and Position | Denise K Stroobants (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9204337864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconto Hospital & Medical Center Inc Po Box 1866 Green Bay WI 54305-1866 Ph: (920) 445-7222 | Oconto Hospital & Medical Center Inc 15481 Commercial Rd Ste E Lakewood WI 54138-9677 Ph: (715) 276-9048 |
| NPI Number | 1790284438 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 2163461781 |
|---|---|
| Medicare Enrollment ID | O20210415002585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790284438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
The Lakes Community Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15397 State Highway 32, Lakewood, WI 54138 Phone: 715-276-6321 Fax: 715-276-1428 | |
Assure Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17187 Twin Pines Rd, Suite A, Lakewood, WI 54138 Phone: 715-850-0700 Fax: 866-484-2182 |