Kickapoo Valley Medical Clinic - Vmh is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Soldiers Grove, Wisconsin. The current practice location for Kickapoo Valley Medical Clinic - Vmh is 102 Sunset Ave, Soldiers Grove, Wisconsin. For appointments, you can reach them via phone at
(608) 624-5203. The mailing address for Kickapoo Valley Medical Clinic - Vmh is 507 S Main St, Viroqua, Wisconsin and phone number is (608) 624-5203.
Kickapoo Valley Medical Clinic - Vmh is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1376549824. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(608) 624-5203.
Primary Care Clinic Profile
| Full Name | Kickapoo Valley Medical Clinic - Vmh |
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| Speciality | Clinic/Center |
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| Location | 102 Sunset Ave, Soldiers Grove, Wisconsin |
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| Authorized Official Name and Position | David Hartberg (CEO) |
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| Authorized Official Contact | 6086374796 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kickapoo Valley Medical Clinic - Vmh
507 S Main St
Viroqua
WI 54665-2059
Ph: (608) 624-5203 | Kickapoo Valley Medical Clinic - Vmh
102 Sunset Ave
Soldiers Grove
WI 54655-1400
Ph: (608) 624-5203 |
NPI Details:
| NPI Number | 1376549824 |
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| Provider Enumeration Date | 06/21/2005 |
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| Last Update Date | 01/07/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8325958416 |
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| Medicare Enrollment ID | O20100602000502 |
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Medical Identifiers
Medical identifiers for Kickapoo Valley Medical Clinic - Vmh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376549824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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