West Bend Clinic, Inc. in West Bend - Cardiovascular Disease
West Bend Clinic, Inc. - NPI 1558371104
West Bend Clinic, Inc. is a Cardiovascular Disease in West Bend, Wisconsin. West Bend Clinic, Inc. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for West Bend Clinic, Inc. is 1558371104. The last update date is 2012-05-23.
West Bend Clinic, Inc.'s current location address is 1700 W Paradise Dr, West Bend, Wisconsin. You can contact this provider via phone number 2623343451. The mailing address for West Bend Clinic, Inc. is 1700 W Paradise Dr, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Bend Clinic, Inc. |
|---|---|
| Address | 1700 W Paradise Dr, West Bend, Wisconsin |
| Phone Number | 2623343451 |
| 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 | 1558371104 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | 1700 W Paradise Dr |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 530959795 |
| Phone Number | 2623343451 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21251400 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to West Bend Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The West Bend Clinic, Inc. has been issued the NPI (National Provider Identifier) 1558371104. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where West Bend Clinic, Inc. is physically located?
The West Bend Clinic, Inc. is physically situated at the following address: 1700 W Paradise Dr, West Bend, WI, 530959795.
What is West Bend Clinic, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for West Bend Clinic, Inc. is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.
On what date did West Bend Clinic, Inc. receive its 1558371104 assignment from the Centers for Medicare & Medicaid Services?
The West Bend Clinic, Inc. was assigned its 1558371104 on 2006-08-08, 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 West Bend Clinic, Inc. most recently updated?
The details pertaining to the West Bend Clinic, Inc., including its address, specialty, and other relevant information, were last refreshed on 2012-05-23.