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Contact Information

ADVANCED HEALTH
401 S PELHAM ST
RHINELANDER, WI54501-3314
 Phone: 715-362-2300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

111NN0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED HEALTH

NPI # 1881892636
LBN Legal business name ADVANCED HEALTH
Authorized official JEROD BERGMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2007
Last updated 01/21/2009 - About 17 years ago
Identifiers
WI License # 3888-012
WI Medicaid 38942000
WI Medicaid 38942100
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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