| New Lisbon Family Medical Center | |
|
901 W Bridge St New Lisbon WI 53950-1083 | |
| (608) 847-6161 | |
| (608) 847-2079 |
| Full Name | New Lisbon Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 W Bridge St, New Lisbon, Wisconsin |
| Authorized Official Name and Position | James M Okeefe (PRESIDENT) |
| Authorized Official Contact | 6088476161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Lisbon Family Medical Center 901 W Bridge St New Lisbon WI 53950-1083 Ph: (608) 847-6161 | New Lisbon Family Medical Center 901 W Bridge St New Lisbon WI 53950-1083 Ph: (608) 847-6161 |
| NPI Number | 1104162841 |
|---|---|
| Provider Enumeration Date | 12/28/2012 |
| Last Update Date | 11/13/2014 |
| Medicare PECOS PAC ID | 8527971399 |
|---|---|
| Medicare Enrollment ID | O20130117000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104162841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 134 (Wisconsin) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 134 (Wisconsin) | Secondary |
Mile Bluff Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Bridge St, New Lisbon, WI 53950 Phone: 608-562-3111 |