| River Valley Medical Clinic | |
|
436 Sunrise Dr Spring Green WI 53588-9286 | |
| (608) 588-2502 | |
| Not Available |
| Full Name | River Valley Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 436 Sunrise Dr, Spring Green, Wisconsin |
| Authorized Official Name and Position | James Dregney (CFO) |
| Authorized Official Contact | 6086437212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Medical Clinic 436 Sunrise Dr Spring Green WI 53588-9286 Ph: (608) 588-2502 | River Valley Medical Clinic 436 Sunrise Dr Spring Green WI 53588-9286 Ph: (608) 588-2502 |
| NPI Number | 1609841568 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 02/22/2018 |
| Medicare PECOS PAC ID | 8224948054 |
|---|---|
| Medicare Enrollment ID | O20100730000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609841568 | NPI | - | NPPES |
| 32764200 | Medicaid | WI | |
| CD3549 | Other | RAILROAD MEDICARE | |
| 43061900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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