| Grant Regional Community Clinic | |
|
507 S Monroe St Lancaster WI 53813-2054 | |
| (608) 723-2131 | |
| (608) 723-4464 |
| Full Name | Grant Regional Community Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 507 S Monroe St, Lancaster, Wisconsin |
| Authorized Official Name and Position | Joel Gehling (CFO) |
| Authorized Official Contact | 6087233202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Regional Community Clinic 507 S Monroe St Lancaster WI 53813-2054 Ph: (608) 723-2143 | Grant Regional Community Clinic 507 S Monroe St Lancaster WI 53813-2054 Ph: (608) 723-2131 |
| NPI Number | 1356776710 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 9638079445 |
|---|---|
| Medicare Enrollment ID | O20140909000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356776710 | NPI | - | NPPES |
| 100193789 | Medicaid | WI |
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Grant Regional Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S Monroe St, Lancaster, WI 53813 Phone: 608-723-2131 Fax: 608-723-4464 | |
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