West Bend Clinic, Inc. in Hartford - Family Medicine
West Bend Clinic, Inc. - NPI 1326057795
West Bend Clinic, Inc. is a Family Medicine in Hartford, Wisconsin. West Bend Clinic, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for West Bend Clinic, Inc. is 1326057795. The last update date is 2012-05-23.
West Bend Clinic, Inc.'s current location address is 110 Lone Oak Ln, Hartford, Wisconsin. You can contact this provider via phone number 2626701800. The mailing address for West Bend Clinic, Inc. is 110 Lone Oak Ln, Hartford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Bend Clinic, Inc. |
|---|---|
| Address | 110 Lone Oak Ln, Hartford, Wisconsin |
| Phone Number | 2626701800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Blommel G Gregory |
| Telephone Number | 2623343451 |
NPI Number Detail
| NPI Number | 1326057795 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 110 Lone Oak Ln |
|---|---|
| City | Hartford |
| State | Wisconsin (WI) |
| Post Code | 530272600 |
| Phone Number | 2626701800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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 |
|---|---|---|---|
| 21251400 | WI | -- |
Post Comment/ Review Below
What is the West Bend Clinic, Inc.'s unique identification number?
The West Bend Clinic, Inc. has been assigned the NPI (National Provider Identifier) Number 1326057795 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of West Bend Clinic, Inc.?
The West Bend Clinic, Inc. is situated at 110 Lone Oak Ln, in the city of Hartford, state of WI, with the zip code 530272600.
What is West Bend Clinic, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for West Bend Clinic, Inc. is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did West Bend Clinic, Inc. receive its 1326057795 assignment from the Centers for Medicare & Medicaid Services?
The West Bend Clinic, Inc. was assigned its 1326057795 on 2006-08-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to West Bend Clinic, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to West Bend Clinic, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-05-23.