LA POINTE COMMUNITY CLINIC INC NPI 1003079740

NPI Information

  • NPI: 1003079740
  • Provider Name: LA POINTE COMMUNITY CLINIC INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 52D1060116
  • Address: 241 BIG BAY ROAD
    LA POINTE, WI
    ZIP 54850
  • Phone: (715) 747-2722

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NPI Details

LA POINTE COMMUNITY CLINIC INC is a family medicine in La Pointe, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LA POINTE COMMUNITY CLINIC INC NPI is 1003079740. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

241 BIG BAY ROAD
LA POINTE, WI
ZIP 54850
Phone: (715) 747-2722

The provider's authorized official is Margie A Frederickson .
The authorized official title is Clinic Manager and has the following contact phone number (715) 747-2722.

The CLIA number assigned to this NPI record is 52D1060116 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/2/2008 and was last updated on 4/16/2019.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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