Great River Community Medical Clinic Sc

LBN: Great River Community Medical Clinic Sc
Great River Community Medical Clinic Sc is an health care organization with primary practice located at 100 N Marquette Rd Suite 106, Prairie Du Chien WI 53821. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Great River Community Medical Clinic Sc can be contacted via phone (608) 326-1072, or through Grunwald, Mark A via phone (608) 326-5459.

Contact Information

Primary practice address
100 N Marquette Rd Suite 106 Prairie Du Chien WI 53821
Phone: (608) 326-1072
Fax: (608) 326-1076
Website:
Map and Directions
Authorized official contact:
Name: Grunwald, Mark A Doctor of Medicine (MD)
Phone: (608) 326-5459

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23439 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23379 Wisconsin

Profile Details

NPI number 1659539203
LBN Legal business name Great River Community Medical Clinic Sc
DBA Doing business as
Authorized official Grunwald, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2008
Last updated Oct 6th, 2008 - about 16 years ago

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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