| La Pointe Community Clinic Inc | |
|
241 Big Bay Road La Pointe WI 54850 | |
| (715) 747-2722 | |
| Not Available |
| Full Name | La Pointe Community Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 241 Big Bay Road, La Pointe, Wisconsin |
| Authorized Official Name and Position | Margie A Frederickson (CLINIC MANAGER) |
| Authorized Official Contact | 7157472722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Pointe Community Clinic Inc 241 Big Bay Road Po Box 45 La Pointe WI 54850 Ph: (715) 747-2722 | La Pointe Community Clinic Inc 241 Big Bay Road La Pointe WI 54850 Ph: (715) 747-2722 |
| NPI Number | 1003079740 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 04/16/2019 |
| Medicare PECOS PAC ID | 4789745860 |
|---|---|
| Medicare Enrollment ID | O20121012000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003079740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Margie A Frederickson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336195536 PECOS PAC ID: 4789697814 Enrollment ID: I20060713000149 |
| Provider Name | Jerry L. Browne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538141734 PECOS PAC ID: 9931130317 Enrollment ID: I20190624001079 |
| Provider Name | Margaret S Myhre |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255893574 PECOS PAC ID: 9032444005 Enrollment ID: I20190712001549 |
| Provider Name | Gina L Hand-eoloff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477194777 PECOS PAC ID: 8527494863 Enrollment ID: I20240614001236 |