Johnson Medical Clinic in Algoma - Adult Medicine
Johnson Medical Clinic - NPI 1962623280
Johnson Medical Clinic is a Adult Medicine in Algoma, Wisconsin. Johnson Medical Clinic practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Johnson Medical Clinic is 1962623280. The last update date is 2023-03-07.
Johnson Medical Clinic's current location address is N8434 County Rd S, Algoma, Wisconsin. You can contact this provider via phone number 9204875635. The mailing address for Johnson Medical Clinic is N8434 County Rd S, Algoma, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Johnson Medical Clinic |
|---|---|
| Address | N8434 County Rd S, Algoma, Wisconsin |
| Phone Number | 9204875635 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Johnson A Carla |
| Credentials | DO |
| Telephone Number | 9204875635 |
NPI Number Detail
| NPI Number | 1962623280 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | N8434 County Rd S |
|---|---|
| City | Algoma |
| State | Wisconsin (WI) |
| Post Code | 542019515 |
| Phone Number | 9204875635 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HO35675 | WI | WISCONSIN CORPORATE NUMBE | |
| 30094500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Johnson Medical Clinic by the Centers for Medicare & Medicaid Services?
The Johnson Medical Clinic has been issued the NPI (National Provider Identifier) 1962623280 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Johnson Medical Clinic?
The Johnson Medical Clinic is physically situated at N8434 County Rd S, in the city of Algoma, state of WI, with the postal code 542019515.
What is Johnson Medical Clinic's area of expertise and its corresponding taxonomy classification?
The Johnson Medical Clinic's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1962623280 to Johnson Medical Clinic?
The Johnson Medical Clinic received its 1962623280 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
When was the information pertaining to Johnson Medical Clinic most recently updated or revised?
The details related to Johnson Medical Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.