Organization
ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.
Active
Other names
Aspirus Grand View
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY M YANG (SVP & CHIEF FINANCIAL OFFICER)
(715) 847-2526
Entity
Organization
Contact information
Practice address
501 GRANITE ST, HURLEY, WI 54534-1372
(715) 561-2255
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02W43GR
BLUE CROSS BLUE SHIELD MN
MN
05
—
32849900
—
WI
01
—
383005582003
HEALTHNET FEDERAL
—
01
—
383005582010
BLUE CROSS BLUE SHIELD WI
WI
01
—
700B710030
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
08/16/2006
Last updated
06/07/2024
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