Careatc - Andes Candies
Organization Active NPI Primary Care Clinic/Center · Delavan, WI
NPI 1871049486 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1871049486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CAREATC - ANDES CANDIES
- Practice address
- 1400 E. Eisconsin
Delavan, WI 53115 - Phone
- (918) 779-7416
- Fax
- (855) 346-7414
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Keith Gucwa
- Title
- Director of Purchasing and Faciliti
- Phone
- (918) 779-7416
Corporate family (same tax ID) 2
Practitioners 1
-
Rebecca Ann McAllister, DNP, RN, FNP-BC,APNP
National Provider Directory
- Tax ID family
- Careatc - Indiana Packers Health Center
Locations
1400 E Wisconsin St
Delavan, WI 53115
Phone (262) 725-1566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
1400 E. Eisconsin
Delavan, WI 53115
Mailing address
1400 E. Eisconsin
Delavan, WI 53115
Phone (918) 779-7416
Other providers in Delavan, WI
- Kurt E Brueckert
- Carrie Dorothy Burg
- Megan Butke
- Cannula Ear Cozy LLC
- Careatc
- Lonna L Cesar
- City of Delavan
- Kamryn Clifford
- Complete Family Dentistry, S.C.
- Sylvia Czerniak
All providers in Delavan, WI · Primary Care Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. 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.