| Mile Bluff Medical Center Inc | |
|
28 Commerce St Wisconsin Dells WI 53965-8293 | |
| (608) 254-5888 | |
| Not Available |
| Full Name | Mile Bluff Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Commerce St, Wisconsin Dells, Wisconsin |
| Authorized Official Name and Position | Thomas Kaminski (VP - CFO) |
| Authorized Official Contact | 6088471452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mile Bluff Medical Center Inc 1050 Division St Mauston WI 53948-1931 Ph: (608) 847-6161 | Mile Bluff Medical Center Inc 28 Commerce St Wisconsin Dells WI 53965-8293 Ph: (608) 254-5888 |
| NPI Number | 1487734380 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 04/10/2026 |
| Medicare PECOS PAC ID | 8527971399 |
|---|---|
| Medicare Enrollment ID | O20130509000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487734380 | NPI | - | NPPES |
| 21271700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 134 (Wisconsin) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Waters Preventive Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Race St, Wisconsin Dells, WI 53965 Phone: 608-254-7178 Fax: 608-253-7139 |