Healthcare Provider Details

I. General information

NPI: 1902810450
Provider Name (Legal Business Name): MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11040 N STATE ROAD 77
HAYWARD WI
54843-6391
US

IV. Provider business mailing address

11040 N STATE ROAD 77
HAYWARD WI
54843-6391
US

V. Phone/Fax

Practice location:
  • Phone: 715-634-4321
  • Fax: 715-934-4379
Mailing address:
  • Phone: 715-934-4321
  • Fax: 715-934-4379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2929
License Number StateWI

VIII. Authorized Official

Name: LUKE BEIRL
Title or Position: CEO
Credential:
Phone: 715-934-4244