West Bend Clinic in Jackson - Durable Medical Equipment & Medical Supplies
West Bend Clinic - NPI 1275542607
West Bend Clinic is a Durable Medical Equipment & Medical Supplies in Jackson, Wisconsin. West Bend Clinic practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for West Bend Clinic is 1275542607. The last update date is 2012-05-23.
West Bend Clinic's current location address is W225n16711 Cedar Park Ct, Jackson, Wisconsin. You can contact this provider via phone number 2626771101. The mailing address for West Bend Clinic is W225n16711 Cedar Park Ct, Jackson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Bend Clinic |
|---|---|
| Address | W225n16711 Cedar Park Ct, Jackson, Wisconsin |
| Phone Number | 2626771101 |
| 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 | 1275542607 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2012-05-23 |
Provider Mailing Address Detail
| Address | W225n16711 Cedar Park Ct |
|---|---|
| City | Jackson |
| State | Wisconsin (WI) |
| Post Code | 530379222 |
| Phone Number | 2626771101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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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 unique 10-digit identification code assigned to West Bend Clinic by the Centers for Medicare & Medicaid Services?
The West Bend Clinic has been issued the NPI (National Provider Identifier) 1275542607, which 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 West Bend Clinic is located?
The West Bend Clinic is situated at the following address: W225N16711 Cedar Park Ct, Jackson, WI, 530379222.
What is West Bend Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The West Bend Clinic's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1275542607 to West Bend Clinic?
The Centers for Medicare & Medicaid Services assigned the 1275542607 to West Bend Clinic on 2006-08-05.
As of what date was the information regarding West Bend Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to West Bend Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-05-23.