Organization
MILE BLUFF MEDICAL CENTER INC
Active
Parent organization
MILE BLUFF MEDICAL CENTER INC
Other names
Mile Bluff New Lisbon Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILE BLUFF MEDICAL CENTER INC
Authorized official
THOMAS KAMINSKI (VP/CFO)
(608) 847-1452
Entity
Organization
Contact information
Practice address
901 W BRIDGE ST, NEW LISBON, WI 53950-1083
(608) 847-6161
(608) 847-2079
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
(608) 847-2079
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
134
WI
332B00000X
Durable Medical Equipment & Medical Supplies
134
WI
Other
Enumeration date
12/28/2012
Last updated
04/13/2026
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