Organization
PRIMARY CONNECTION HEALTH CARE, INC
Active
Parent organization
PRIMARY CONNECTION HEALTH CARE, INC
Other names
Bridge Community Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CONNECTION HEALTH CARE, INC
Authorized official
LAURA E SCUDIERE MPH (EXECUTIVE DIRECTOR)
(715) 848-4884
Entity
Organization
Contact information
Practice address
401 W. MAIN STREET, MERRILL, WI 54452
(715) 539-8181
(715) 539-8109
Mailing address
1810 N 2ND STREET, WAUSAU, WI 54403
(715) 848-4884
(715) 845-5385
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32956400
—
WI
Enumeration date
04/20/2011
Last updated
04/20/2011
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