| Grant Regional Health Center, Inc | |
|
114 Us Highway 61 N Potosi WI 53820-9502 | |
| (608) 723-2131 | |
| Not Available |
| Full Name | Grant Regional Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 114 Us Highway 61 N, Potosi, Wisconsin |
| Authorized Official Name and Position | Joel Gehling (CFO) |
| Authorized Official Contact | 6087233202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Regional Health Center, Inc 114 Us Highway 61 N Potosi WI 53820-9502 Ph: () - | Grant Regional Health Center, Inc 114 Us Highway 61 N Potosi WI 53820-9502 Ph: (608) 723-2131 |
| NPI Number | 1699724443 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 9638079445 |
|---|---|
| Medicare Enrollment ID | O20210325001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699724443 | NPI | - | NPPES |
| 100192052 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |