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NPI Code Detail

MEDICARE: GRANT REGIONAL HEALTH CENTER, INC.

MEDICARE: GRANT REGIONAL HEALTH CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2363L00000XNurse Practitioner
3282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255339867
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANT REGIONAL HEALTH CENTER, INC.
Provider Business Mailing Address
First Line : 507 S MONROE ST
Second Line : ATTN: ADMINISTRATION
City : LANCASTER
State : WI
Zip : 53813-2054
Country : US
Telephone Number : 608-723-2143
Fax Number : 608-723-4464
Provider Business Practice Location Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2054
Country : US
Telephone Number : 608-723-2143
Fax Number :
Authorized Official
Title or Position : CFO
Name : MR. JOEL GEHLING
Credential :
Telephone Number : 608-723-3202
Provider Enumeration Date : 07/08/2005
Last Update Date : 06/14/2022

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Directions to “GRANT REGIONAL HEALTH CENTER, INC. ” Practice Location

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