Organization
NORTHREACH HEALTHCARE, LLC
Active
Parent organization
NORTHREACH HEALTHCARE, LLC
Other names
MENOMINEE MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHREACH HEALTHCARE, LLC
Authorized official
CAROL HIPKE (DIRECTOR OF BUSINESS SERVICES)
(715) 732-2078
Entity
Organization
Contact information
Practice address
1100 10TH ST, MENOMINEE, MI 49858-3027
(920) 445-7226
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
23D09382233
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-3861
RURAL HEALTH
MI
01
—
23D0382233
CLINIC CLIA
MI
Enumeration date
12/08/2011
Last updated
03/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us