Randolph Community Clinic Sc in Randolph - Family Medicine
Randolph Community Clinic Sc - NPI 1497832257
Randolph Community Clinic Sc is a Family Medicine in Randolph, Wisconsin. Randolph Community Clinic Sc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Randolph Community Clinic Sc is 1497832257. The last update date is 2008-04-20.
Randolph Community Clinic Sc's current location address is 504 S High St, Randolph, Wisconsin. You can contact this provider via phone number 9203265060 and fax number 9203265061. The mailing address for Randolph Community Clinic Sc is 504 S High St, Randolph, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Randolph Community Clinic Sc |
|---|---|
| Address | 504 S High St, Randolph, Wisconsin |
| Phone Number | 9203265060 |
| Fax Number | 9203265061 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lucarelli Elaine Melissa |
| Credentials | MD |
| Telephone Number | 9203265060 |
NPI Number Detail
| NPI Number | 1497832257 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 504 S High St |
|---|---|
| City | Randolph |
| State | Wisconsin (WI) |
| Post Code | 539561499 |
| Phone Number | 9203265060 |
| Fax Number | 9203265061 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36988020 |
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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 |
|---|---|---|---|
| 32327000 | WI | -- | |
| N96 | DEAN HEALTH PLAN | ||
| CH8761 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Randolph Community Clinic Sc by the Centers for Medicare & Medicaid Services?
The Randolph Community Clinic Sc has been issued the NPI (National Provider Identifier) 1497832257. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Randolph Community Clinic Sc is located?
The Randolph Community Clinic Sc is situated at the following address: 504 S High St, Randolph, WI, 539561499.
What is the Randolph Community Clinic Sc's specialty and taxonomy code?
The Randolph Community Clinic Sc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Randolph Community Clinic Sc receive its 1497832257 assignment from the Centers for Medicare & Medicaid Services?
The Randolph Community Clinic Sc was assigned its 1497832257 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Randolph Community Clinic Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Randolph Community Clinic Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.