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NPI 1679775415

NPI 1679775415 : ASPIRUS RIVERVIEW HOSPITAL & CLINICS, INC. : WISCONSIN RAPIDS, WI

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General NPI Number Information
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    NPI Number           |    1679775415
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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     |    06/04/2007
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    Last Update Date     |    02/26/2026
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Provider Practice Location Address
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    Address Line         |    410 DEWEY STREET 
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    City                 |    WISCONSIN RAPIDS
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    State                |    WI
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    Zip                  |    54494
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    Country              |    US
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    Telephone            |    715-422-7739
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    Fax                  |    715-421-7517
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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            |    715-422-7739
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    Fax                  |    715-421-7517
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Authorized Official
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    Title or Position    |    SVP- CHIEF FINANCIAL OFFICER
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    Name                 |    MR. LORI  PECK 
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    Credential           |    
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    Telephone            |    715-847-2575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    52D0395748
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    License Number State |    WI
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