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NPI Code Detail

MEDICARE: CHIPPEWA VALLEY HEALTH COOPERATIVE

MEDICARE: CHIPPEWA VALLEY HEALTH COOPERATIVE
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
1163WW0000XWound Care Registered Nurse
2207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1740029727
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIPPEWA VALLEY HEALTH COOPERATIVE
Provider Business Mailing Address
First Line : 2661 COUNTY HIGHWAY I
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-5407
Country : US
Telephone Number : 715-861-0990
Fax Number :
Provider Business Practice Location Address
First Line : 2661 COUNTY HIGHWAY I
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-5407
Country : US
Telephone Number : 715-861-0990
Fax Number :
Authorized Official
Title or Position : CONSULTANT
Name : ANGELA QUICK
Credential :
Telephone Number : 715-379-7820
Provider Enumeration Date : 05/21/2024
Last Update Date : 03/06/2026

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Directions to “CHIPPEWA VALLEY HEALTH COOPERATIVE ” Practice Location

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