| Crivitz Medical Center | |
|
218 S Hwy 141 Crivitz WI 54114-1677 | |
| (715) 854-7477 | |
| (715) 854-7785 |
| Full Name | Crivitz Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 218 S Hwy 141, Crivitz, Wisconsin |
| Authorized Official Name and Position | Carol Hipke (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 7157322078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crivitz Medical Center Po Box 22487 Green Bay WI 54305-2487 Ph: (920) 445-7226 | Crivitz Medical Center 218 S Hwy 141 Crivitz WI 54114-1677 Ph: (715) 854-7477 |
| NPI Number | 1013069624 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013069624 | NPI | - | NPPES |
| 52D0394395 | Other | WI | CLINIC CLIA |
| 4825080007 | Other | WI | MEDICARE DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | 52D0394395 (Wisconsin) | Secondary |
Bellin Health Crivitz Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 S Hwy 141, Crivitz, WI 54114 Phone: 715-854-7477 Fax: 715-854-7785 | |
Crivitz Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Hwy 141, Crivitz, WI 54114 Phone: 715-732-2075 Fax: 715-732-2072 |