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Organization
RIPON MEDICAL CENTER
Active
Organization
RIPON MEDICAL CENTER
Active
Parent organization
AGNESIAN HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
AGNESIAN HEALTHCARE
Authorized official
DANIEL GARCIA PT, DPT (PHYSICAL MEDICINE SUPERVISOR)
(920) 748-9138
Entity
Organization
Contact information
Practice address
933 NEWBURY ST, RIPON, WI 54971-1730
(920) 748-9138
(920) 748-0527
Mailing address
933 NEWBURY ST, RIPON, WI 54971-1730
(920) 748-9138
(920) 748-0527
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11991024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11013210
—
WI
Enumeration date
08/02/2012
Last updated
09/07/2012
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