FAMILY HEALTH CENTER OF MARSHFIELD, INC.; NPI #1689366759

Contact Information

FAMILY HEALTH CENTER OF MARSHFIELD, INC.

843 W BROADWAY AVE
MEDFORD, WI 54451-1307

Phone: 715-233-6800
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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

NPI Number	`1689366759`
LBN Legal business name	FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Authorized official	KYMBERLI DARRACOTT - (CREDENTIALING SPECIALIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/25/2023
Last updated	07/13/2023 - About 3 years ago
Identifiers	n/a

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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