Provisions Health in Eau Claire - Family Medicine
Provisions Health - NPI 1508875840
Provisions Health is a Family Medicine in Eau Claire, Wisconsin. Provisions Health practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Provisions Health is 1508875840. The last update date is 2022-12-11.
Provisions Health's current location address is 2522 Golf Rd Ste 2, Eau Claire, Wisconsin. You can contact this provider via phone number 7158330660. The mailing address for Provisions Health is 2522 Golf Rd Ste 2, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provisions Health |
|---|---|
| Address | 2522 Golf Rd Ste 2, Eau Claire, Wisconsin |
| Phone Number | 7158330660 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Wiggins Shannon |
| Credentials | D.O. |
| Telephone Number | 5173467628 |
NPI Number Detail
| NPI Number | 1508875840 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2022-12-11 |
Provider Mailing Address Detail
| Address | 2522 Golf Rd Ste 2 |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547016033 |
| Phone Number | 7158330660 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101013727 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22-76363 | WI | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Provisions Health by the Centers for Medicare & Medicaid Services?
The Provisions Health has been assigned the NPI (National Provider Identifier) 1508875840. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Provisions Health's facilities are situated?
The facilities of Provisions Health are physically located at the following address: 2522 Golf Rd Ste 2, Eau Claire, WI, 547016033.
What is the Provisions Health's area of specialization and corresponding taxonomy classification?
The Provisions Health's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1508875840 to Provisions Health?
The Provisions Health received its 1508875840 assignment from the Centers for Medicare & Medicaid Services on 2006-08-05.
As of what date were the Provisions Health's details last updated?
The information pertaining to the Provisions Health, including its address, specialty, and other details, was most recently updated on 2022-12-11.