Organization
GRANT REGIONAL HEALTH CENTER, INC
Active
Other names
Grant Regional Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN M BANDY (CFO)
(608) 723-3202
Entity
Organization
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2131
(608) 723-4464
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2131
(608) 723-4464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
WI
207V00000X
Obstetrics & Gynecology Physician
—
WI
261QR1300X
Rural Health Clinic/Center
Primary
—
WI
Other
Enumeration date
10/30/2015
Last updated
12/23/2015
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