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NPI Code Detail

MEDICARE: ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.

MEDICARE: ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QR0400XRehabilitation Clinic/Center
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1386267664
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.
Provider Business Mailing Address
First Line : 400 W GLEN ST
Second Line :
City : CRANDON
State : WI
Zip : 54520-1355
Country : US
Telephone Number : 715-478-3318
Fax Number :
Provider Business Practice Location Address
First Line : 400 W GLEN ST
Second Line :
City : CRANDON
State : WI
Zip : 54520-1355
Country : US
Telephone Number : 715-478-3318
Fax Number :
Authorized Official
Title or Position : SVP & CHIEF FINANCIAL OFFICER
Name : JERRY M YANG
Credential :
Telephone Number : 715-847-2526
Provider Enumeration Date : 05/21/2020
Last Update Date : 06/10/2024

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