| Sauk Prairie Healthcare Inc | |
|
160 Valley Dr Lodi WI 53555-1464 | |
| (608) 592-3296 | |
| Not Available |
| Full Name | Sauk Prairie Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 160 Valley Dr, Lodi, Wisconsin |
| Authorized Official Name and Position | James Dregney (CFO) |
| Authorized Official Contact | 6086437212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sauk Prairie Healthcare Inc 160 Valley Dr Lodi WI 53555-1464 Ph: () - | Sauk Prairie Healthcare Inc 160 Valley Dr Lodi WI 53555-1464 Ph: (608) 592-3296 |
| NPI Number | 1225003445 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 09/17/2025 |
| Medicare PECOS PAC ID | 8224948054 |
|---|---|
| Medicare Enrollment ID | O20120928000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225003445 | NPI | - | NPPES |
| CI6108 | Other | RAILROAD MEDICARE | |
| 32764200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |