| Door County Medical Center Algoma | |
|
815 Jefferson St Algoma WI 54201-1733 | |
| (920) 487-3496 | |
| Not Available |
| Full Name | Door County Medical Center Algoma |
|---|---|
| Speciality | Clinic/Center |
| Location | 815 Jefferson St, Algoma, Wisconsin |
| Authorized Official Name and Position | Andrew S Laluzerne (CFO) |
| Authorized Official Contact | 9207463729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Door County Medical Center Algoma 323 S 18th Ave Sturgeon Bay WI 54235-1401 Ph: (920) 743-5566 | Door County Medical Center Algoma 815 Jefferson St Algoma WI 54201-1733 Ph: (920) 487-3496 |
| NPI Number | 1952639833 |
|---|---|
| Provider Enumeration Date | 12/03/2009 |
| Last Update Date | 04/06/2022 |
| Medicare PECOS PAC ID | 5395735088 |
|---|---|
| Medicare Enrollment ID | O20081107000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952639833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Wisconsin) | Primary |
Fmc Algoma Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 831 Parker St, Algoma, WI 54201 Phone: 920-487-3676 | |
Lakeshore Vision Centers, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1021 Jefferson St., Algoma, WI 54201 Phone: 920-487-2020 Fax: 920-487-5022 | |
Johnson Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N8434 County Rd S, Algoma, WI 54201 Phone: 920-487-5635 |