Pound Community Medical Clinic S.C.
Organization Active NPI Specialist · Pound, WI
NPI 1134202062 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1134202062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 25995 (WI)
- Legal business name
- POUND COMMUNITY MEDICAL CLINIC S.C.
- Practice address
- 2026 County Road Q
Pound, WI 54161-9707 - Phone
- (920) 897-2331
- Fax
- (920) 897-2115
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. John Kellogg McGuire, M.D.
- Title
- Physician
- Phone
- (920) 897-2331
National Provider Directory
Locations
2026 County Road Q
Pound, WI 54161
Phone (906) 897-2331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 25995 | WI | Yes |
Addresses
Primary practice location
2026 County Road Q
Pound, WI 54161-9707
Mailing address
2026 County Road Q
Pound, WI 54161-9707
Phone (920) 897-2331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32721700 | Medicaid | WI |
Other providers in Pound, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. 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.