Organization
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Active
Other names
ASPIRUS RIB LAKE CLINIC
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
1121 HIGHWAY 102, RIB LAKE, WI 54470
(715) 427-5701
(715) 427-3863
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
(715) 748-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21303300
—
WI
Enumeration date
11/08/2006
Last updated
06/10/2024
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