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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDOLPH COMMUNITY CLINIC SC

Active Organization

RANDOLPH COMMUNITY CLINIC SC is a Family Medicine organization located in RANDOLPH, Wisconsin. NPI 1497832257 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · RANDOLPH, WI

Registration Details

NPI Number
1497832257
Provider Type
Organization
NPI Issued
Nov 1, 2006 (19.786480402031 yrs)
Last Updated
Apr 20, 2008
License
36988020 (WI)

Practice Information

Address
504 S HIGH STREET
RANDOLPH, WI, 53956
Browse WI providers · Browse ZIP 53956
Phone
9203265060
Fax
9203265061
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.