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Organization
NORTHREACH HEALTHCARE, LLC
Active
Organization
NORTHREACH HEALTHCARE, LLC
Active
Other names
FamilyCare Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
(715) 732-2078
Entity
Organization
Contact information
Practice address
3123 SHORE DR, SUITE 202, MARINETTE, WI 54143-4287
(715) 732-4120
(715) 732-4430
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4825080008
MEDICARE DME
—
01
—
52382
RURAL HEALTH CLINIC
WI
Enumeration date
01/17/2007
Last updated
03/14/2017
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