FAMILY HEALTH CENTER OF MARSHFIELD, INC.; NPI #1346519444

Contact Information

FAMILY HEALTH CENTER OF MARSHFIELD, INC.

843 W BROADWAY AVE
MEDFORD, WI 54451-1307

Phone: 715-785-8100
Fax: 715-785-7011
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for FAMILY HEALTH CENTER OF MARSHFIELD, INC.

NPI Number 1346519444

LBN Legal business name FAMILY HEALTH CENTER OF MARSHFIELD, INC.

Authorized official GREGORY NYCZ - (DIRECTOR OF FAMILY HEALTH CENTER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 12/19/2011

Last updated 05/12/2016 - About 10 years ago

Identifiers

Medicaid

32958500

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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