GREAT RIVER COMMUNITY MEDICAL CLINIC SC – NPI #1659539203
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

GREAT RIVER COMMUNITY MEDICAL CLINIC SC is a provider located in PRAIRIE DU CHIEN, WI. NPPES has assigned the NPI number 1659539203 to GREAT RIVER COMMUNITY MEDICAL CLINIC SC on May 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 18 years ago on Oct 06, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT RIVER COMMUNITY MEDICAL CLINIC SC below.

NPI Profile for
GREAT RIVER COMMUNITY MEDICAL CLINIC SC

NPI Number
1659539203
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREAT RIVER COMMUNITY MEDICAL CLINIC SC
Primary location
100 N MARQUETTE RD
SUITE 106
PRAIRIE DU CHIEN, WI 53821
Phone: (608) 326-1072 Fax: (608) 326-1076
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK GRUNWALD
PRESIDENT
Phone: (608) 326-5459
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
WI 23379

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.