Northreach Healthcare, LLC
Organization Active NPI Family Medicine Physician · Crivitz, WI
NPI 1013069624 · NPPES record last updated Mar 14, 2017
Key facts
- NPI
- 1013069624
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- NORTHREACH HEALTHCARE, LLC
- Practice address
- 218 S Hwy 141
Crivitz, WI 54114-1677 - Phone
- (715) 854-7477
- Fax
- (715) 854-7785
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Carol Hipke
- Title
- Director of Business Services
- Phone
- (715) 732-2078
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Clinical Medical Laboratory | 291U00000X | 52D0394395 | WI |
Addresses
Primary practice location
218 S Hwy 141
Crivitz, WI 54114-1677
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52D0394395 | Other | WI | CLINIC CLIA |
| 4825080007 | Other | WI | MEDICARE DME |
Other names
- Crivitz Medical Center
Other providers in Crivitz, WI
- New Care, Inc.
- Newcare Inc
- Melissa Newingham
- Anisha Niskanen
- Northern Chiropractic and Wellness LLC
- Oconto Hospital & Medical Center, Inc.
- Chassie Le Olson
- Anna Rae Pelner
- Kevin J Pepin
- Jessica Joy Peterson
All providers in Crivitz, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.