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NORTHREACH HEALTHCARE LLC NPI 1841342441


NPI Information

NPI: 1841342441
Provider Name: NORTHREACH HEALTHCARE, LLC

Doing Business As: FAMILYCARE MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3123 SHORE DR
SUITE 202
MARINETTE, WI
ZIP 54143
Phone: (715) 732-4120
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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 1841342441. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Familycare Medical Clinic.

The provider's business location address is:

3123 SHORE DR
SUITE 202
MARINETTE, WI
ZIP 54143-287
Phone: (715) 732-4120
Fax: (715) 732-4430

The provider's authorized official is Carol Hipke .
The authorized official title is Director Of Business Services and has the following contact phone number (715) 732-2078.

The enumeration date for this NPI number is 1/17/2007 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
1207Q00000XFamily MedicineYes

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
152382OTHERWISCONSINRURAL HEALTH CLINIC
2000040160MEDICARE OSCAR/CERTIFICATIONWISCONSIN
34825080008OTHERMEDICARE DME

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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