Organization
FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Active
Parent organization
FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Other names
Family Health Center of Marshfield, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Authorized official
MR. GREGORY R. NYCZ (DIRECTOR OF FAMILY HEALTH CENTER)
(715) 387-9137
Entity
Organization
Contact information
Practice address
843 W BROADWAY AVE, MEDFORD, WI 54451-1307
(715) 785-8100
(715) 785-7011
Mailing address
PO BOX 7900, 1000 N OAK AVE, MARSHFIELD, WI 54449-7900
(715) 389-4574
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32958500
—
WI
Enumeration date
12/19/2011
Last updated
05/12/2016
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