Organization
WESTERN WISCONSIN MEDICAL ASSOCIATES
Active
Organization
WESTERN WISCONSIN MEDICAL ASSOCIATES
Active
Other names
Vibrant Health Family Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
KERITH W LIJEWSKI MD (MEDICAL DIRECTOR)
(715) 425-6701
Entity
Organization
Contact information
Practice address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
(715) 426-3994
Mailing address
1687 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
(715) 426-3994
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32748700
—
WI
Enumeration date
08/30/2005
Last updated
08/14/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up