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MILE BLUFF MEDICAL CENTER INC NPI 1275879884


NPI Information

NPI: 1275879884
Provider Name: MILE BLUFF MEDICAL CENTER INC

Doing Business As: MILE BLUFF CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
321 BUTTS AVE
TOMAH, WI
ZIP 54660
Phone: (608) 372-2181
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MILE BLUFF MEDICAL CENTER INC is a durable medical equipment medical supplies in Tomah, 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. MILE BLUFF MEDICAL CENTER INC NPI is 1275879884. The provider is registered as an organization entity type.
The provider Is Doing Business As Mile Bluff Clinic.

The provider's business location address is:

321 BUTTS AVE
TOMAH, WI
ZIP 54660-412
Phone: (608) 372-2181
Fax: (608) 374-0355

The provider's authorized official is James M Okeefe .
The authorized official title is President and has the following contact phone number (608) 847-6161.

The enumeration date for this NPI number is 12/31/2012 and was last updated on 1/10/2013.


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
1332B00000XDurable Medical Equipment & Medical Supplies134WISCONSINYes

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
1000057025MEDICARE PINWISCONSIN

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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