| J Rapha, SC | |
|
6105 Babl Ln # Weston Schofield WI 54476-1966 | |
| (715) 574-0413 | |
| Not Available |
| Full Name | J Rapha, SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6105 Babl Ln # Weston, Schofield, Wisconsin |
| Authorized Official Name and Position | Ruth Mahmood (PHYSICIAN & OPERATION LEAD) |
| Authorized Official Contact | 7155740413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Rapha, SC 6105 Babl Ln # Weston Schofield WI 54476-1966 Ph: (715) 574-0413 | J Rapha, SC 6105 Babl Ln # Weston Schofield WI 54476-1966 Ph: (715) 574-0413 |
| NPI Number | 1508757998 |
|---|---|
| Provider Enumeration Date | 07/14/2025 |
| Last Update Date | 07/14/2025 |
| Certification Date | 07/14/2025 |
| Medicare PECOS PAC ID | 1355839242 |
|---|---|
| Medicare Enrollment ID | O20251022003838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508757998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Ruth Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659518199 PECOS PAC ID: 9234322900 Enrollment ID: I20101026000991 |
Greenheck Group Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 734 Ross Ave, Schofield, WI 54476 Phone: 888-261-9055 Fax: 715-803-2863 |
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