| Cwp Montello | |
|
120 Underwood Ave Montello WI 53949-9354 | |
| (608) 297-2474 | |
| (608) 716-3159 |
| Full Name | Cwp Montello |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 120 Underwood Ave, Montello, Wisconsin |
| Authorized Official Name and Position | Eric D Jachthuber (OWNER) |
| Authorized Official Contact | 6082977452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cwp Montello 120 Underwood Ave Montello WI 53949-9354 Ph: (608) 297-2474 | Cwp Montello 120 Underwood Ave Montello WI 53949-9354 Ph: (608) 297-2474 |
| NPI Number | 1609764232 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609764232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
Chn Medical Center - Montello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Church St, Montello, WI 53949 Phone: 608-297-2626 Fax: 608-297-9351 |
Tenderheart Adult Family Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Doty St, Montello, WI 53949 Phone: 920-948-3118 |