Organization
GRANT REGIONAL HEALTH CENTER, INC
Active
Parent organization
GRANT REGIONAL HEALTH CENTER, INC
Other names
Potosi Tennyson Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRANT REGIONAL HEALTH CENTER, INC
Authorized official
MR. JOEL GEHLING (CFO)
(608) 723-3202
Entity
Organization
Contact information
Practice address
114 US HIGHWAY 61 N, POTOSI, WI 53820-9502
(608) 723-2131
Mailing address
114 US HIGHWAY 61 N, POTOSI, WI 53820-9502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100192052
—
WI
Enumeration date
05/09/2006
Last updated
06/14/2022
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