Elkhorn Family Clinic in Elkhorn - Point Of Service
Elkhorn Family Clinic - NPI 1164637492
Elkhorn Family Clinic is a Point Of Service in Elkhorn, Wisconsin. Elkhorn Family Clinic practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Elkhorn Family Clinic is 1164637492. The last update date is 2019-04-10.
Elkhorn Family Clinic's current location address is 100 S Washington St, Elkhorn, Wisconsin. You can contact this provider via phone number 2627431122 and fax number 2627431582. The mailing address for Elkhorn Family Clinic is 100 S Washington St, Elkhorn, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Elkhorn Family Clinic |
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Address | 100 S Washington St, Elkhorn, Wisconsin |
Phone Number | 2627431122 |
Fax Number | 2627431582 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Muzaffar Syed Kamal |
Credentials | MD |
Telephone Number | 2627431122 |
NPI Number Detail
NPI Number | 1164637492 |
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Provider Enumeration Date | 2007-05-11 |
Last Updated Date | 2019-04-10 |
Provider Mailing Address Detail
Address | 100 S Washington St |
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City | Elkhorn |
State | Wisconsin (WI) |
Post Code | 531211732 |
Phone Number | 2627431122 |
Fax Number | 2627431582 |
Provider's Primary Taxonomy Detail
Speciality | Point Of Service |
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Taxonomy | 305S00000X |
Licence No | 43819-020 |
Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
34151600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Elkhorn Family Clinic by the Centers for Medicare & Medicaid Services?
The Elkhorn Family Clinic has been issued the NPI (National Provider Identifier) 1164637492. 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 Elkhorn Family Clinic is located?
The Elkhorn Family Clinic is situated at the following address: 100 S Washington St, Elkhorn, WI, 531211732.
What is Elkhorn Family Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Elkhorn Family Clinic is Point Of Service, and the taxonomy classification code that categorizes this area of expertise is 305S00000X.
On what date did the Elkhorn Family Clinic receive the assignment of its 1164637492 from the Centers for Medicare & Medicaid Services?
The Elkhorn Family Clinic was issued its 1164637492 by the Centers for Medicare & Medicaid Services on 2007-05-11.
As of what date was the information regarding Elkhorn Family Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elkhorn Family Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-04-10.
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