| NPI | 1649435876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT EDIN CFO Administrator Finance 715-268-0301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WI 43060600) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |