Aspirus
Organization Active NPI Non-Pharmacy Dispensing Site · Marathon, WI
NPI 1265515597 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1265515597
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- 42834020 (WI)
- Legal business name
- ASPIRUS
- Practice address
- 670 Community Cir
Marathon, WI 54448-9003 - Phone
- (715) 443-6767
- Fax
- (715) 443-6644
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Direndia Shackelford
- Title
- Managed Care Specialist
- Phone
- (800) 654-0889
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Aspirus Clinic Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 42834020 | WI | Yes |
Addresses
Primary practice location
670 Community Cir
Marathon, WI 54448-9003
Mailing address
670 Community Cir
Marathon, WI 54448-9003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34032700 | Medicaid | WI | |
| 5128512 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- ASPIRUS
Other providers in Marathon, WI
- Aspirus Medical Group, Inc.
- Aspirus Wausau Hospital, Inc.
- Kylee Belan
- Michael M Blume
- Robert Blume Jr.
All providers in Marathon, WI · Non-Pharmacy Dispensing Site in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.