NPI 1295853059

Community Care of Portage County

Organisation Exclusive Provider Organization Stevens Point, WI

Practice location

Address: 817 Whiting Ave, Stevens Point, WI 54481-5246
Phone: (715) 345-5968
Fax: (715) 345-5725

Authorised official

Name: James Canales
Title: Director
Phone: (715) 345-5800

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1295853059
Entity type: Organization
NPI issued: 27 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.