Bay Area Medical Center, Inc
Organization Active NPI Hematology & Oncology Physician · Marinette, WI
NPI 1598036360 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1598036360
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 155 (WI)
- Legal business name
- BAY AREA MEDICAL CENTER, INC
- Practice address
- 3100 Shore Dr
Marinette, WI 54143-4242 - Phone
- (715) 735-6523
- Fax
- (715) 735-5215
- NPI assigned
- Jan 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Dawn M Laplant
- Title
- Clinic Business Services Manager
- Phone
- (715) 735-1722
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Bay Area Med Ctr Crnas
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | 155 | WI | Yes |
Addresses
Primary practice location
3100 Shore Dr
Marinette, WI 54143-4242
Mailing address
3100 Shore Dr
Marinette, WI 54143-4242
Phone (715) 735-1721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11001400 | Medicaid | WI |
Other names
- Bay Area Cancer Care Center
Other providers in Marinette, WI
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Baycare Clinic LLP
- Baycare Clinic, LLP
- Baycare Clinic, LLP
- Karin Beal
All providers in Marinette, WI · Hematology & Oncology 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 Jan 25, 2012. 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.