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NPI 1295754844

NPI 1295754844 : ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. : WISCONSIN RAPIDS, WI

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General NPI Number Information
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    NPI Number           |    1295754844
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. 
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Dates
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    Enumeration Date     |    07/18/2006
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    Last Update Date     |    11/12/2025
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Provider Practice Location Address
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    Address Line         |    410 DEWEY ST 
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    City                 |    WISCONSIN RAPIDS
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    State                |    WI
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    Zip                  |    54494-4715
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    Country              |    US
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    Telephone            |    715-423-6060
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    Fax                  |    715-421-7551
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Provider Business Mailing Address
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    Address Line         |    29980 NETWORK PL 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60673-1299
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    Country              |    US
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    Telephone            |    715-847-2304
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SVP & CHIEF FINANCIAL OFFICER
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    Name                 |     JERRY M YANG 
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    Credential           |    
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    Telephone            |    715-847-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    283X00000X
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    Taxonomy Name        |    Rehabilitation Hospital
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    License Number       |    11
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    License Number State |    WI
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Taxonomy #5
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    11
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    License Number State |    WI
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