Organization
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Active
Other names
ASPIRUS KIDNEY CARE - MEDFORD
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
111 S GIBSON ST, MEDFORD, WI 54451
(715) 748-8100
(715) 748-8199
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
(715) 748-8199
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
6797
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10008277
—
WI
Enumeration date
09/30/2008
Last updated
02/26/2026
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