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HEALTHSTAT HEALTH CENTER RICE LAKE NPI 1366115396


NPI Information

NPI: 1366115396
Provider Name: HEALTHSTAT HEALTH CENTER RICE LAKE
Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
30 PHIPPS AVE
RICE LAKE, WI
ZIP 54868
Phone: (715) 434-1058
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HEALTHSTAT HEALTH CENTER RICE LAKE is a preventive medicine/occupational environmental medicine preventive medicine in Rice Lake, WI. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT HEALTH CENTER RICE LAKE NPI is 1366115396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 PHIPPS AVE
RICE LAKE, WI
ZIP 54868-052
Phone: (715) 434-1058

The provider's authorized official is Jill Johnson Patton .
The authorized official title is Director Of Risk Management and has the following contact phone number (704) 936-5546.

The enumeration date for this NPI number is 7/27/2021 and was last updated on 7/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.