| 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 |
| Certification Date | 06/14/2022 |
| Medicare PECOS PAC ID | 9638079445 |
|---|---|
| Medicare Enrollment ID | O20140909000262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356776710 | NPI | - | NPPES |
| 100193789 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (NU) | Secondary |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9177 Old Potosi Rd, Lancaster, WI 53813 Phone: 608-723-4300 Fax: 608-723-7885 |
Physician Management Services of Wisconsin, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Lincoln Ave, Lancaster, WI 53813 Phone: 888-829-8550 |
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 |
High Point Family Medicine, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Lincoln Ave, Lancaster, WI 53813 Phone: 608-723-3100 Fax: 866-560-8783 |
Grant Regional Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S Monroe St, Lancaster, WI 53813 Phone: 608-723-3293 Fax: 608-723-3281 |