| Western Wisconsin Health | |
|
1100 Bergslien St Baldwin WI 54002-2600 | |
| (715) 684-1111 | |
| (715) 684-1119 |
| Full Name | Western Wisconsin Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Bergslien St, Baldwin, Wisconsin |
| Authorized Official Name and Position | Eilidh Pederson (CEO) |
| Authorized Official Contact | 7156841100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wisconsin Health 1100 Bergslien St Baldwin WI 54002-2600 Ph: (715) 684-1111 | Western Wisconsin Health 1100 Bergslien St Baldwin WI 54002-2600 Ph: (715) 684-1111 |
| NPI Number | 1336228865 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 7911800586 |
|---|---|
| Medicare Enrollment ID | O20100218000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336228865 | NPI | - | NPPES |
| 43058500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 1052 (Wisconsin) | Primary |
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