| Bewell Employee Sponsored Clinic | |
|
660 Vandeberg St Baldwin WI 54002-3251 | |
| (715) 688-7411 | |
| Not Available |
| Full Name | Bewell Employee Sponsored Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 660 Vandeberg St, Baldwin, Wisconsin |
| Authorized Official Name and Position | Tara Denise Scott (IMPLEMENTATION MANAGER) |
| Authorized Official Contact | 4236029530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bewell Employee Sponsored Clinic 1110 Market St Ste 502 Chattanooga TN 37402-3310 Ph: (423) 602-9530 | Bewell Employee Sponsored Clinic 660 Vandeberg St Baldwin WI 54002-3251 Ph: (715) 688-7411 |
| NPI Number | 1154028942 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154028942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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