Organization
SPOONER HEALTH SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA M BUSCH (CHIEF FINANCIAL OFFICER)
(715) 939-1732
Entity
Organization
Contact information
Practice address
801 OAK ST, SPOONER, WI 54801-1228
(715) 939-1738
(715) 635-8567
Mailing address
1280 CHANDLER DR, SPOONER, WI 54801-2202
(715) 939-1738
(715) 635-8567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
208
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41525300
—
WI
Enumeration date
07/11/2006
Last updated
08/16/2016
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