ASPIRUS CRANDON CLINIC - NPI 1386267664 - General Practice in Crandon, WI

Q: What is Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Aspirus Crandon Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASPIRUS CRANDON CLINIC (NPI 1386267664) is a healthcare organization registered as a general practice in Crandon, Wisconsin and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Jerry M Yang, Svp & Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1386267664

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC.

Location Address400 W GLEN STCrandon, WI 54520-1355

Mailing Address400 W Glen StCrandon, WI 54520-1355 · (715) 478-3318

Phone(715) 478-3318

Organization SubpartNo

Authorized OfficialJerry M YangSvp & Chief Financial Officer · (715) 847-2526

Enumeration DateMay 21, 2020

Last NPPES UpdateJune 10, 20244 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1386267664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X

400 W GLEN ST, Crandon, WI 54520

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Other Names 1

Doing Business AsAspirus Crandon Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0697015

Aspirus Crandon Clinic · Crandon, WI

Active · expires Apr 18, 2027

CLIA Number52D0697015

Laboratory TypeRural Health Clinic

Certificate Effective DateApril 19, 2025

Certificate Expiration DateApril 18, 2027

Laboratory DirectorBeth Gehrig

Laboratory Phone(715) 478-6306

Laboratory LocationAspirus Crandon Clinic400 W Glen St, Crandon, WI 54520

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA D PERRY MD

Internal Medicine