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ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN INC NPI 1639282544


NPI Information

NPI: 1639282544
Provider Name: ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC

Doing Business As: ASCENSION MEDICAL GROUP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 52D0397908

Address:
1420 ALGOMA ST
NEW LONDON, WI
ZIP 54961
Phone: (920) 982-8300
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ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC is a durable medical equipment medical supplies in New London, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC NPI is 1639282544. The provider is registered as an organization entity type.
The provider Is Doing Business As Ascension Medical Group.

The provider's business location address is:

1420 ALGOMA ST
NEW LONDON, WI
ZIP 54961
Phone: (920) 982-8300

The provider's authorized official is Suzanne Sanicola .
The authorized official title is Administrative Vp and has the following contact phone number (414) 465-3968.

The CLIA number assigned to this NPI record is 52D0397908 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/16/2006 and was last updated on 9/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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