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CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC. NPI 1659471068


NPI Information

NPI: 1659471068
Provider Name: CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC.

Doing Business As: ADVENTHEALTH MEDICAL GROUP PRIMARY CARE AT DURAND SOUTH

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 52D0396797

Address:
1220 3RD AVE W
DURAND, WI
ZIP 54736
Phone: (715) 672-4211
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CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC. is an emergency medicine in Durand, WI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CHIPPEWA VALLEY HOSPITAL & OAKVIEW CARE CENTER INC. NPI is 1659471068. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Adventhealth Medical Group Primary Care At Durand South.

The provider's business location address is:

1220 3RD AVE W
DURAND, WI
ZIP 54736-600
Phone: (715) 672-4211
Fax: (715) 672-3047

The provider's authorized official is Troy Dube .
The authorized official title is Cfo and has the following contact phone number (715) 672-4211.

The CLIA number assigned to this NPI record is 52D0396797 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 1/10/2020.


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
1207P00000XEmergency Medicine1008WISCONSINYes

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
132798600MEDICAIDWISCONSIN

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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