| Borealis Wellness Clinic Llc | |
|
123 W State St Medford WI 54451-1772 | |
| (715) 748-4333 | |
| (715) 748-6304 |
| Full Name | Borealis Wellness Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 W State St, Medford, Wisconsin |
| Authorized Official Name and Position | Samuel Robert Klinner (OWNER) |
| Authorized Official Contact | 7157484433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Borealis Wellness Clinic Llc 123 W State St Medford WI 54451-1772 Ph: (715) 748-4333 | Borealis Wellness Clinic Llc 123 W State St Medford WI 54451-1772 Ph: (715) 748-4333 |
| NPI Number | 1912279316 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 8123282886 |
|---|---|
| Medicare Enrollment ID | O20120607000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912279316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4855-12 (Wisconsin) | Primary |
| Provider Name | Samuel R Klinner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003188509 PECOS PAC ID: 9032373790 Enrollment ID: I20120607000734 |
| Provider Name | Megan M Thompson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679051411 PECOS PAC ID: 1254684780 Enrollment ID: I20181030000955 |
| Provider Name | Ryan David Paul |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659061240 PECOS PAC ID: 8426414004 Enrollment ID: I20230524002310 |
| Provider Name | Jacob Arnold Rhyner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053181768 PECOS PAC ID: 7517300353 Enrollment ID: I20240208000877 |
Memorial Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-8197 | |
Taylor County Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 | |
Family Health Center Of Marshfield, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 843 W Broadway Ave, Medford, WI 54451 Phone: 715-785-8100 Fax: 715-785-7011 | |
Aspirus Medford Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-8199 | |
Vladimir Uhri Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Gibson Ave, Medford, WI 54451 Phone: 715-748-5353 Fax: 715-748-7582 | |
Medford Dental Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 843 W Broadway Ave, Medford, WI 54451 Phone: 715-233-6800 | |
Taylor County Human Services Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 College St, Medford, WI 54451 Phone: 715-748-3332 Fax: 715-748-3342 |