| Gundersen Moundview Hospital And Clinics, Inc. | |
|
207 N Pioneer Park Rd Unit 8 Westfield WI 53964-9092 | |
| (608) 296-6350 | |
| Not Available |
| Full Name | Gundersen Moundview Hospital And Clinics, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 N Pioneer Park Rd, Westfield, Wisconsin |
| Authorized Official Name and Position | Frank Perez-guerra (CEO) |
| Authorized Official Contact | 6083396814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundersen Moundview Hospital And Clinics, Inc. 402 W Lake St Po Box 40 Friendship WI 53934-9699 Ph: (608) 339-3331 | Gundersen Moundview Hospital And Clinics, Inc. 207 N Pioneer Park Rd Unit 8 Westfield WI 53964-9092 Ph: (608) 296-6350 |
| NPI Number | 1861829194 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 05/13/2019 |
| Medicare PECOS PAC ID | 1355250432 |
|---|---|
| Medicare Enrollment ID | O20140429001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861829194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 107800 (Wisconsin) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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