FAMILY MEDICAL CLINIC S.C. NPI 1770663221

NPI Information

NPI: 1770663221
Provider Name: FAMILY MEDICAL CLINIC, S.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1507 DOCTORS CT
WATERTOWN, WI
ZIP 53094
Phone: (920) 261-4111
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FAMILY MEDICAL CLINIC, S.C. is a family medicine in Watertown, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICAL CLINIC, S.C. NPI is 1770663221. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1507 DOCTORS CT
WATERTOWN, WI
ZIP 53094-101
Phone: (920) 261-4111

The provider's authorized official is Robert James Kluge .
The authorized official title is Medical Staff Assistant and has the following contact phone number (920) 262-4784.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 11/29/2007.

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	207Q00000X	Family Medicine				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	21266600	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: 5/5/2024

NPI Synchronization or Removal

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