BAY AREA MEDICAL CENTER INC NPI 1144591900

NPI Information

NPI: 1144591900
Provider Name: BAY AREA MEDICAL CENTER, INC

Doing Business As: BAY AREA HEART AND VASCULAR CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3100 SHORE DR
MARINETTE, WI
ZIP 54143
Phone: (715) 735-8067
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BAY AREA MEDICAL CENTER, INC is a cardiovascular disease internal medicine in Marinette, WI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BAY AREA MEDICAL CENTER, INC NPI is 1144591900. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bay Area Heart And Vascular Center.

The provider's business location address is:

3100 SHORE DR
MARINETTE, WI
ZIP 54143-242
Phone: (715) 735-8067
Fax: (715) 732-8224

The provider's authorized official is Dawn M Laplant .
The authorized official title is Clinic Business Services Manager and has the following contact phone number (715) 735-1722.

The enumeration date for this NPI number is 1/25/2012 and was last updated on 1/25/2012.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	155	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	000000492	MEDICARE PIN	WISCONSIN
2	11001400	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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