Healthcare Provider Details

I. General information

NPI: 1952874216
Provider Name (Legal Business Name): ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2019
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 N SHORE DR
RHINELANDER WI
54501-8360
US

IV. Provider business mailing address

2251 N SHORE DR
RHINELANDER WI
54501-8360
US

V. Phone/Fax

Practice location:
  • Phone: 715-361-4700
  • Fax:
Mailing address:
  • Phone: 715-361-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: JERRY M YANG
Title or Position: SVP & CHIEF FINANCIAL OFFICER
Credential:
Phone: 715-847-2526