Healthcare Provider Details
I. General information
NPI: 1306515671
Provider Name (Legal Business Name): ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2021
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3500 HOOVER RD
STEVENS POINT WI
54481-5600
US
IV. Provider business mailing address
29980 NETWORK PL
CHICAGO IL
60673-1299
US
V. Phone/Fax
- Phone: 715-342-7900
- Fax:
- Phone: 715-847-2304
- Fax: 715-847-2125
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JERRY
M
YANG
Title or Position: SVP & CHIEF FINANCIAL OFFICER
Credential:
Phone: 715-847-2526