Organization · Type 2 NPI
Primary Connection Health Care, Inc.
Federally Qualified Health Center (FQHC) · Wausau, WI
NPI number
1457370744
Active
Practice location
181 N 2nd Street
Wausau, WI 54403
Fax (715) 845-5385
Mailing address
1810 2nd St
Wausau, WI 54403-3492
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 5377-800 (WI) |
| Dental Hygienist | 124Q00000X | 5377-800 (WI) |
| Family Medicine Physician | 207Q00000X | 5377-800 (WI) |
| Pediatrics Physician | 208000000X | 5377-800 (WI) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1457370744
Primary Connection Health Care, Inc.'s National Provider Identifier is 1457370744, issued on Jul 18, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Wausau, WI. The record was last updated on Jun 30, 2017.