Organization Name: | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. |
NPI Number: | 1891971768 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI P PECK (INTERIM VP FINANCE) |
Mailing Address: | 625 Peterson Av Phillips |
State: | WI US |
Postal Code: | 545551430 |
Phone Number: | 7153394035 |
Fax Number: | 7153394036 |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 04/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |