Community Care of Portage County
NPI #1295853059 in Stevens Point, Wisconsin
Provider Information
- NPI Number
- 1295853059
- Entity Type
- Organization
- Organization Name
- Community Care of Portage County
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 27, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 817 WHITING AVE
- City
- Stevens Point
- State
- Wisconsin
- ZIP Code
- 54481-5246
- Phone
- (715) 345-5968
Authorized Official
- Name
- JAMES CANALES
- Title
- DIRECTOR
- Phone
- (715) 345-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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