Northwestern Medical Center Sc in Racine - Family Medicine
Northwestern Medical Center Sc - NPI 1033288816
Northwestern Medical Center Sc is a Family Medicine in Racine, Wisconsin. Northwestern Medical Center Sc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Northwestern Medical Center Sc is 1033288816. The last update date is 2007-12-03.
Northwestern Medical Center Sc's current location address is 1532 S Green Bay Rd, Racine, Wisconsin. You can contact this provider via phone number 2626310474 and fax number 2626310476. The mailing address for Northwestern Medical Center Sc is 1532 S Green Bay Rd, Racine, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwestern Medical Center Sc |
|---|---|
| Address | 1532 S Green Bay Rd, Racine, Wisconsin |
| Phone Number | 2626310474 |
| Fax Number | 2626310476 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kurt J Kenneth |
| Credentials | DO |
| Telephone Number | 2626310474 |
NPI Number Detail
| NPI Number | 1033288816 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 1532 S Green Bay Rd |
|---|---|
| City | Racine |
| State | Wisconsin (WI) |
| Post Code | 534064410 |
| Phone Number | 2626310474 |
| Fax Number | 2626310476 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 14968021 |
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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 |
|---|---|---|---|
| 38736439001 | BCBS | ||
| 30038200 | WI | -- |
Post Comment/ Review Below
What is the Northwestern Medical Center Sc's 1033288816?
The Northwestern Medical Center Sc's NPI (National Provider Identifier) Number is 1033288816. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Northwestern Medical Center Sc is located?
The Northwestern Medical Center Sc is situated at the following address: 1532 S Green Bay Rd, Racine, WI, 534064410.
What is Northwestern Medical Center Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Northwestern Medical Center Sc is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Northwestern Medical Center Sc receive the assignment of its 1033288816 from the Centers for Medicare & Medicaid Services?
The Northwestern Medical Center Sc was issued its 1033288816 by the Centers for Medicare & Medicaid Services on 2006-11-07.
When was the information regarding Northwestern Medical Center Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Northwestern Medical Center Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-03.
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