Chippewa Valley Orthopedics And Sports Medicine Clinic Sc

LBN: Chippewa Valley Orthopedics And Sports Medicine Clinic Sc
Chippewa Valley Orthopedics And Sports Medicine Clinic Sc is an health care organization with primary practice located at 1200 Oakleaf Way Suite A, Altoona WI 54720-2245. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Physical Therapy, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Chippewa Valley Orthopedics And Sports Medicine Clinic Sc can be contacted via phone (715) 832-1400, or through Crow, Austin Jay via phone (715) 832-1400.

Contact Information

Primary practice address
1200 Oakleaf Way Suite A Altoona WI 54720-2245
Phone: (715) 832-1400
Fax: (715) 832-4187
Website:
Map and Directions
Authorized official contact:
Name: Crow, Austin Jay Doctor of Medicine (MD)
Phone: (715) 832-1400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 54216 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1699778829
LBN Legal business name Chippewa Valley Orthopedics And Sports Medicine Clinic Sc
DBA Doing business as
Authorized official Crow, Austin Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Sep 14th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699778829 NPPES
Wisconsin MEDICAID 100249466
Wisconsin MEDICAID 21278700
Wisconsin Other 220399400
Wisconsin Other 2416091
Wisconsin Other 542R9CH
Wisconsin MEDICAID 41741700
Wisconsin Other =========

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