DEERFIELD CARE CENER LLC NPI 1013351899

NPI Information

NPI: 1013351899
Provider Name: DEERFIELD CARE CENER, LLC
Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 52D0676133

Address:
575 HOSPITAL ROAD
NEW RICHMOND, WI
ZIP 54017
Phone: (715) 243-3930
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DEERFIELD CARE CENER, LLC is an occupational medicine clinic center in New Richmond, WI. DEERFIELD CARE CENER, LLC NPI is 1013351899. The provider is registered as an organization entity type.

The provider's business location address is:

575 HOSPITAL ROAD
NEW RICHMOND, WI
ZIP 54017
Phone: (715) 243-3930

The provider's authorized official is Megan Corcoran .
The authorized official title is Administrator and has the following contact phone number (715) 243-3933.

The CLIA number assigned to this NPI record is 52D0676133 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2013 and was last updated on 4/23/2013.

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
1	261QX0100X	Clinic/Center	Occupational Medicine	522626	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2001122	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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