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HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY NPI 1932221884


NPI Information

NPI: 1932221884
Provider Name: HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY

Doing Business As: NORTH CENTRAL HEALTH CARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1100 LAKE VIEW DR
WAUSAU, WI
ZIP 54403
Phone: (715) 848-4600
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HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY is a multi-specialty clinic center in Wausau, WI. HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY NPI is 1932221884. The provider is registered as an organization entity type.
The provider Is Doing Business As North Central Health Care.

The provider's business location address is:

1100 LAKE VIEW DR
WAUSAU, WI
ZIP 54403-785
Phone: (715) 848-4600
Fax: (715) 845-5398

The provider's authorized official is Michael Loy .
The authorized official title is Interim Ceo and has the following contact phone number (715) 848-4600.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/1/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-Specialty1677WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
132975170MEDICAIDWISCONSIN

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: 11/14/2023

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