# PARK FALLS REGIONAL MEDICAL CLINIC, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427127745
- **Authorized official:** DR. GEOFFREY S HARRISON M.D. (PRESIDENT)
- **Authorized official phone:** (715) 762-2970

## Contact information

- **Practice address:** 1155 4TH AVE S, PARK FALLS, WI 54552-1922
- **Practice address phone:** (715) 762-2970
- **Practice address fax:** (715) 762-2975
- **Mailing address:** 1155 4TH AVE S, PARK FALLS, WI 54552-1922
- **Mailing address phone:** (715) 762-2970
- **Mailing address fax:** (715) 762-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 09/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 21306000 | — | WI |