NPI 1477964211

Interim Health Care

Organisation Exclusive Provider Organization Barron, WI

Practice location

Address: 106 E Franklin Ave, Barron, WI 54812-1145
Phone: (715) 637-0166
Mailing address: 594 Outpost Cir STE G, Hudson, WI 54016-7895

Authorised official

Name: Amy Sue Eichman
Title: Registered Nurse
Phone: (715) 377-9617

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 124164-030 (WI)

Other Exclusive Provider Organization providers in Wisconsin →

Registry record

NPI: 1477964211
Entity type: Organization
NPI issued: 14 May 2014
Record last updated: 14 May 2014

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.