Organization
DOUGLAS COUNTY COMMUNITY HEALTH CLINIC INC.
Active
Other names
Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WILLCOXON (DIRECTOR)
(715) 394-4117
Entity
Organization
Contact information
Practice address
2231 CATLIN AVE, SUPERIOR, WI 54880-5137
(715) 394-4117
(715) 394-5711
Mailing address
2231 CATLIN AVE, SUPERIOR, WI 54880-5137
(715) 394-4117
(715) 394-5711
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42006000
—
WI
Enumeration date
02/16/2007
Last updated
08/22/2020
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