NPI 1407002546

Community Care of Central Wisconsin

Organisation Exclusive Provider Organization Stevens Point, WI

Practice location

Address: 3349 Church St STE 1, Stevens Point, WI 54481-5314
Phone: (715) 345-5968
Fax: (715) 345-5725

Authorised official

Name: Lucy Ellen Runnells
Title: Chief Financial Officer
Phone: (715) 204-1810

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Wisconsin →

Registry record

NPI: 1407002546
Entity type: Organization
NPI issued: 8 Aug 2008
Record last updated: 8 Aug 2008

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.