Organization
MARSHFIELD CLINIC
Active
Parent organization
MARSHFIELD CLINIC
Other names
Marshfield Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHFIELD CLINIC
Authorized official
DR. DAVID J. SIMENSTAD MD (MEDICAL DIRECTOR REIMBURSEMENT)
(715) 387-5511
Entity
Organization
Contact information
Practice address
630 S CENTRAL AVE, SUITE 106, MARSHFIELD, WI 54449-4138
(715) 389-5900
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
7890
WI
332B00000X
Durable Medical Equipment & Medical Supplies
7890
WI
Other
Enumeration date
08/19/2009
Last updated
03/08/2010
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