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NPI 1063104297

OrganizationActive

Family Health Center of Marshfield, Inc.

NPI 1063104297 · Federally Qualified Health Center (FQHC) · Park Falls, WI

Provider details

NPI number: 1063104297
Entity type: Organization
Primary specialty: Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Organization subpart: No
Authorized official: Kymberli Darracott, Credentialing Specialist(262) 654-5555

Specialties & taxonomies

Federally Qualified Health Center (FQHC)Primary261QF0400X
Ambulatory Health Care Facilities

Practice location

75 Sherry Ave

Park Falls, WI 54552-1468

Phone: (715) 762-0200

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

1307 N Saint Joseph Ave

Marshfield, WI 54449-1340

Other names (DBA / former)

Doing business as: Park Falls Dental Center

Registry dates

Enumerated: 2023-05-25
Last updated: 2023-07-13
Certified: 2023-07-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Family Health Center of Marshfield, Inc. — NPI 1063104297, Park Falls, WI | NPI Central