| Spring Green Medical Center | |
|
301 E 2nd St Ste 1c, 2b, 3b, 3c Richland Center WI 53581-1900 | |
| (608) 647-6321 | |
| (608) 647-6325 |
| Full Name | Spring Green Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 E 2nd St, Richland Center, Wisconsin |
| Authorized Official Name and Position | Bruce Roesler (CEO) |
| Authorized Official Contact | 6086476321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Green Medical Center Po Box 10 Spring Green WI 53588-0010 Ph: (608) 588-7413 | Spring Green Medical Center 301 E 2nd St Ste 1c, 2b, 3b, 3c Richland Center WI 53581-1900 Ph: (608) 647-6321 |
| NPI Number | 1063404341 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 7618861618 |
|---|---|
| Medicare Enrollment ID | O20081212000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063404341 | NPI | - | NPPES |
| 43059600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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