| Gl Tomah Clinic | |
|
505 Gopher Dr Tomah WI 54660-4513 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Gl Tomah Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 Gopher Dr, Tomah, Wisconsin |
| Authorized Official Name and Position | Kari B Adank (CCO) |
| Authorized Official Contact | 6087758025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gl Tomah Clinic 1836 South Ave La Crosse WI 54601-5429 Ph: (608) 782-7300 | Gl Tomah Clinic 505 Gopher Dr Tomah WI 54660-4513 Ph: (608) 782-7300 |
| NPI Number | 1497708044 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/06/2021 |
| Medicare PECOS PAC ID | 9638082779 |
|---|---|
| Medicare Enrollment ID | O20100930063425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497708044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Amayla Empowerment Association, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Julie St Ste 2, Tomah, WI 54660 Phone: 608-377-3864 |