NORTHREACH HEALTHCARE LLC NPI 1811268204

NPI Information

NPI: 1811268204
Provider Name: NORTHREACH HEALTHCARE LLC

Doing Business As: AFTER HOURS CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1106 UNIVERSITY DR
SUITE 102
MARINETTE, WI
ZIP 54143
Phone: (715) 732-2075
Get Directions

NORTHREACH HEALTHCARE LLC is a family medicine in Marinette, 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. NORTHREACH HEALTHCARE LLC NPI is 1811268204. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As After Hours Clinic.

The provider's business location address is:

1106 UNIVERSITY DR
SUITE 102
MARINETTE, WI
ZIP 54143-110
Phone: (715) 732-2075
Fax: (715) 735-0895

The provider's authorized official is Denise K Stroobants .
The authorized official title is Credentialing Specialist and has the following contact phone number (920) 445-7226.

The enumeration date for this NPI number is 1/18/2012 and was last updated on 3/14/2017.

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	52D2038176	OTHER	WISCONSIN	CLINIC CLIA
2	000040160	MEDICARE OSCAR/CERTIFICATION	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: 4/28/2024

NPI Synchronization or Removal

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