# NORTHREACH HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHREACH HEALTHCARE, LLC
- **Other names:** MENOMINEE MEDICAL CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780952549
- **Legal business name:** NORTHREACH HEALTHCARE, LLC
- **Authorized official:** CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
- **Authorized official phone:** (715) 732-2078

## Contact information

- **Practice address:** 1100 10TH ST, MENOMINEE, MI 49858-3027
- **Practice address phone:** (920) 445-7226
- **Mailing address:** PO BOX 22487, GREEN BAY, WI 54305-2487
- **Mailing address phone:** (920) 445-7226
- **Mailing address fax:** (920) 445-7229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | 23D09382233 | MI | — |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 03/14/2017