| Rockwood Family Health Llc | |
|
152 W Garland St Jefferson WI 53549-2029 | |
| (920) 674-4141 | |
| (920) 674-6714 |
| Full Name | Rockwood Family Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 152 W Garland St, Jefferson, Wisconsin |
| Authorized Official Name and Position | Franklin Bradford Meyers (SOLE MEMBER) |
| Authorized Official Contact | 9206744141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwood Family Health Llc 152 W Garland St Jefferson WI 53549-2029 Ph: (920) 674-4141 | Rockwood Family Health Llc 152 W Garland St Jefferson WI 53549-2029 Ph: (920) 674-4141 |
| NPI Number | 1013913532 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013913532 | NPI | - | NPPES |
| K3 | Other | WI | DEAN HEALTH PLAN |
| 1000245 | Other | WI | PHYSICIANS PLUS INS CORP |
| 21314900 | Medicaid | WI | |
| 080184575 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28978 (Wisconsin) | Primary |
Rock River Community Clinic-jefferson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 262-472-6839 |