# OAKLEAF CLINICS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OAKLEAF CLINICS SC
- **Other names:** Oakleaf Clinics, Southside Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306238191
- **Legal business name:** OAKLEAF CLINICS SC
- **Authorized official:** DR. CHRIS R LONGBELLA MD (DIRECTOR)
- **Authorized official phone:** (715) 836-9242

## Contact information

- **Practice address:** 714 W HAMILTON AVE, EAU CLAIRE, WI 54701-6937
- **Practice address phone:** (715) 830-9990
- **Practice address fax:** (715) 830-9995
- **Mailing address:** 719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
- **Mailing address phone:** (715) 552-9784
- **Mailing address fax:** (715) 835-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 09/21/2022