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Contact Information

SPOONER HEALTH SYSTEM
1280 CHANDLER DRIVE
SPOONER, WI54801-1299
 Phone: 715-939-1746
 Fax: 715-939-1562
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SPOONER HEALTH SYSTEM

NPI Number 1942245188
LBN Legal business name SPOONER HEALTH SYSTEM
Authorized official TIM BASSETT - (DIR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 08/16/2016 - About 10 years ago
Identifiers
WI License # 9407-42
WI Medicaid 33132300
Other 2113053 PK
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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