Organization · Type 2 NPI

Langlade Hospital - Hotel Dieu of ST Joseph of Antigo Wisconsin

Rural Health Clinic/Center · Antigo, WI

NPI number 1821151366 Active

Practice location

110 E 5th Ave
Antigo, WI 54409-2710

Call (715) 623-2351 Map

Mailing address

29980 Network Pl
Chicago, IL 60673-1299

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Clinic/Center	261Q00000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

18 other providers at this address

NPI record

NPI: 1821151366
Entity type: Organization (Type 2)
Issued: Dec 18, 2006
Last updated: Jun 13, 2024
Status: Active

Other names

<unavail>
Aspirus Antigo Clinic · doing business as
Aspirus Antigo Clinic · doing business as

Authorized official

Jerry M Yang
SVP & Chief Financial Officer
(715) 847-2526

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821151366

Langlade Hospital - Hotel Dieu of ST Joseph of Antigo Wisconsin's National Provider Identifier is 1821151366, issued on Dec 18, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Antigo, WI. The record was last updated on Jun 13, 2024.