LACROSSE CBOC NPI 1649302399

NPI Information

NPI: 1649302399
Provider Name: LACROSSE CBOC
Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

CLIA Number: 52D1012361

Address:
2600 STATE RD
LA CROSSE, WI
ZIP 54601
Phone: (608) 784-3886
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LACROSSE CBOC is a va clinic center in La Crosse, WI. LACROSSE CBOC NPI is 1649302399. The provider is registered as an organization entity type.

The provider's business location address is:

2600 STATE RD
LA CROSSE, WI
ZIP 54601-157
Phone: (608) 784-3886

The provider's authorized official is Barbara Mayerick .
The authorized official title is Director, Business Development and has the following contact phone number (202) 254-0339.

The CLIA number assigned to this NPI record is 52D1012361 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.

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	261QV0200X	Clinic/Center	VA			Yes

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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