Organization
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Active
Organization
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE KLEIN (CFO)
(715) 236-6129
Entity
Organization
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
Mailing address
1100 N MAIN ST, RICE LAKE, WI 54868-1238
(715) 234-1515
(715) 234-4465
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1562800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11006900
—
WI
Enumeration date
03/02/2007
Last updated
03/14/2008
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