Organization
FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Active
Other names
Park Falls Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYMBERLI DARRACOTT (CREDENTIALING SPECIALIST)
(262) 654-5555
Entity
Organization
Contact information
Practice address
75 SHERRY AVE, PARK FALLS, WI 54552-1468
(715) 762-0200
Mailing address
1307 N SAINT JOSEPH AVE, MARSHFIELD, WI 54449-1340
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
07/13/2023
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