| Fhc Menomonie Dme | |
|
3603 Schneider Ave Se Menomonie WI 54751-5674 | |
| (715) 233-6400 | |
| Not Available |
| Full Name | Fhc Menomonie Dme |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3603 Schneider Ave Se, Menomonie, Wisconsin |
| Authorized Official Name and Position | Gregory R. Nycz (DIRECTOR OF FAMILY HEALTH CENTER) |
| Authorized Official Contact | 7153879137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhc Menomonie Dme 1000 N Oak Ave P. O. Box 7900 Marshfield WI 54449-5703 Ph: (715) 389-4574 | Fhc Menomonie Dme 3603 Schneider Ave Se Menomonie WI 54751-5674 Ph: (715) 233-6400 |
| NPI Number | 1497155808 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497155808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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