Community Care of Central Wisconsin
NPI #1407002546 in Stevens Point, Wisconsin
Provider Information
- NPI Number
- 1407002546
- Entity Type
- Organization
- Organization Name
- Community Care of Central Wisconsin
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 8, 2008
- Last Updated
- Aug 8, 2008
Practice Location
- Address
- 3349 CHURCH ST STE 1
- City
- Stevens Point
- State
- Wisconsin
- ZIP Code
- 54481-5314
- Phone
- (715) 345-5968
Authorized Official
- Name
- LUCY ELLEN RUNNELLS, MPA
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (715) 204-1810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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