Organization
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Active
Other names
ASPIRUS PRENTICE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PECK (SVP- CHIEF FINANCIAL OFFICER)
(715) 847-2575
Entity
Organization
Contact information
Practice address
1511 RAILROAD AVE, PRENTICE, WI 54556-1155
(715) 428-2521
(715) 428-2522
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
(715) 748-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21303400
—
WI
Enumeration date
11/03/2006
Last updated
02/26/2026
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