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MILE BLUFF CLINIC LLP NPI 1518147222


NPI Information

NPI: 1518147222
Provider Name: MILE BLUFF CLINIC, LLP
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 CLINIC, LLP 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 CLINIC, LLP NPI is 1518147222. The provider is registered as an organization entity type.

The provider's business location address is:

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

The provider's authorized official is Carol Fronk .
The authorized official title is Administrator and has the following contact phone number (608) 847-5000.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 2/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141679000MEDICAIDWISCONSIN
21294460002MEDICARE NSCWISCONSIN

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

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