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Contact Information

CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
1200 OAKLEAF WAY
SUITE A
ALTOONA, WI54720-2245
 Phone: 715-832-1400
 Fax: 715-832-4187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Physical Therapy

261QP2000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC

NPI # 1699778829
LBN Legal business name CHIPPEWA VALLEY ORTHOPEDICS AND SPORTS MEDICINE CLINIC SC
Authorized official AUSTIN CROW - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2005
Last updated 07/31/2025 - About 10 months ago
Identifiers
WI License # 54216
WI Medicaid 100249466
WI Medicaid 100272795
WI Medicaid 21278700
WI Medicaid 41741700
WI Other 542R9CH BCBS OF MN
WI Other ========= BLUE CROSS BLUE SHIELD
WI Other 220399400 OWCP
WI Other 2416091 UNITED HEALTHCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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