| Essentia Health Spooner Clinic | |
|
1180 Chandler Drive Spooner WI 54801 | |
| (715) 635-2151 | |
| Not Available |
| Full Name | Essentia Health Spooner Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1180 Chandler Drive, Spooner, Wisconsin |
| Authorized Official Name and Position | Kevin Boren (VP OF FINANCE) |
| Authorized Official Contact | 2187861009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essentia Health Spooner Clinic 1180 Chandler Drive Spooner WI 54801 Ph: (715) 635-2151 | Essentia Health Spooner Clinic 1180 Chandler Drive Spooner WI 54801 Ph: (715) 635-2151 |
| NPI Number | 1083161301 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 02/28/2024 |
| Medicare PECOS PAC ID | 8628964228 |
|---|---|
| Medicare Enrollment ID | O20170314000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083161301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Indianhead Eye Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: W7164 Green Valley Rd, Spooner, WI 54801 Phone: 715-635-3127 Fax: 715-635-3316 |