PREMISE HEALTH OF WISCONSIN MEDICAL S C NPI 1811173313

NPI Information

PREMISE HEALTH OF WISCONSIN MEDICAL S C is a primary care clinic center in Mineral Point, WI. PREMISE HEALTH OF WISCONSIN MEDICAL S C NPI is 1811173313. The provider is registered as an organization entity type.
The provider Is Doing Business As Cummins Employee Health Center.

The provider's business location address is:

856 FAIR ST
MINERAL POINT, WI
ZIP 53565-409
Phone: (605) 987-2569
Fax: (608) 987-5983

The provider's authorized official is Steven A Hinitt .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The CLIA number assigned to this NPI record is 52D1073672 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 4/8/2021.

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:

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