| Elroy Family Medical Center | |
|
1515 Academy St Elroy WI 53929-1011 | |
| (608) 847-6161 | |
| (608) 847-2079 |
| Full Name | Elroy Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1515 Academy St, Elroy, Wisconsin |
| Authorized Official Name and Position | James Okeefe (PRESIDENT) |
| Authorized Official Contact | 6088476161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elroy Family Medical Center 1515 Academy St Elroy WI 53929-1011 Ph: (608) 847-6161 | Elroy Family Medical Center 1515 Academy St Elroy WI 53929-1011 Ph: (608) 847-6161 |
| NPI Number | 1285770016 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 01/17/2013 |
| Medicare PECOS PAC ID | 8527971399 |
|---|---|
| Medicare Enrollment ID | O20100506000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285770016 | NPI | - | NPPES |
| 43052700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 134 (Wisconsin) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 134 (Wisconsin) | Secondary |
St. Joseph's Health Services - Elroy Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 Omaha St, Elroy, WI 53929 Phone: 608-489-8270 Fax: 608-489-8188 |