West Bend Clinic South
LBN: West Bend Clinic, Inc.
West Bend Clinic South is an health care organization with primary practice located at 3200 Pleasant Valley Rd , West Bend WI 53095-9274. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty.
West Bend Clinic, Inc. can be contacted via phone (262) 334-3451, or through Blommel, Gregory G via phone (262) 334-3451.
Contact Information
Primary practice address
3200 Pleasant Valley Rd
West Bend WI 53095-9274
Phone: (262) 334-3451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1558371104 |
|---|---|
| LBN Legal business name | West Bend Clinic, Inc. |
| DBA Doing business as | West Bend Clinic South |
| Authorized official | Blommel, Gregory G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | May 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558371104 | NPPES |
| Wisconsin | MEDICAID | 21251400 |
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