institution
Stockbridge Munsee Community
Federally Qualified Health Center (FQHC) in Bowler, Wisconsin
NPI 1629070180

Stockbridge Munsee Community is a Federally Qualified Health Center (FQHC) based in Bowler, WI and is specialized in Federally Qualified Health Center (FQHC). Stockbridge Munsee Community practices in Bowler, WI. The NPI Number for Stockbridge Munsee Community is 1629070180 and holds a License No. (Wisconsin).

The current practice location address for Stockbridge Munsee Community is W12802 Cty Rd A, Bowler, WI and can be reached out via phone at 715-793-4144 and via fax at 715-793-5028.

Location: W12802 Cty Rd A, Bowler, WI, 54416
institution
Provider Profile Details
NPI Number
1629070180
Provider Name
Stockbridge Munsee Community
Credential
Provider Entity Type
Organization
Address
W12802 Cty Rd A, Bowler, WI, 54416
Phone Number
715-793-4144
Fax Number
715-793-5028
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32955900 05 WI
41730300 05 WI
44008700 05 WI
39114544+040 01 WI BLUE CROSS BLUE SHIELD
42125400 05 WI
institution
Provider Business Practice Location Address Details
Address
W12802 Cty Rd A
City
State
Zip
54416
Phone Number
715-793-4144
Fax Number
715-793-5028
person
Provider Business Mailing Address Details
Address
W12802 Cty Rd A
City
State
Zip
54416
Phone Number
715-793-4144
Fax Number
715-793-5028
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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