| County Of Menominee | |
|
W3272 Wolf River Dr Keshena WI 54135-9202 | |
| (715) 799-3861 | |
| (715) 799-5317 |
| Full Name | County Of Menominee |
|---|---|
| Speciality | Community/behavioral Health |
| Location | W3272 Wolf River Dr, Keshena, Wisconsin |
| Authorized Official Name and Position | Shannon Wilber (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7157993861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Menominee Po Box 280 Keshena WI 54135-0280 Ph: (715) 799-3861 | County Of Menominee W3272 Wolf River Dr Keshena WI 54135-9202 Ph: (715) 799-3861 |
| NPI Number | 1700931300 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700931300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 2228 (Wisconsin) | Primary |
Menominee Indian Tribe Of Wisconsin Primary Care Clinic Medicare: Medicare Enrolled Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
County Of Menominee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W3272 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3861 Fax: 715-733-3517 |