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Contact Information

ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
135 S GIBSON ST
MEDFORD, WI54451-1622
 Phone: 715-748-8100
 Fax: 715-748-8199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.

NPI Number 1093879439
LBN Legal business name ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Authorized official JERRY YANG - (SVP & CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/20/2006
Last updated 06/10/2024 - More than a year ago
Identifiers
WI License # 4917-042
WI Medicaid 33124500
Other 450770N00 AMERICAN HOSPITAL ASSOC
Other 5107215 NCPDP
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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