La Clinica De Los Campesinos, Inc

Provider details

NPI number

1790786929

Entity type

Organization

Primary specialty

Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Organization subpart

No

Authorized official

Erin Bender, Enrollment and Contract Specialist(920) 787-9459

Specialties & taxonomies

• Federally Qualified Health Center (FQHC)Primary261QF0400X

  Ambulatory Health Care Facilities

• Family Medicine Physician207Q00000X

  Allopathic & Osteopathic Physicians

• Family Medicine Physician207Q00000X

  Allopathic & Osteopathic Physicians

• Dentist122300000X

  Dental Providers

• Family Nurse Practitioner363LF0000X

  Physician Assistants & Advanced Practice Nursing Providers

• Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X

  Ambulatory Health Care Facilities

Other names (DBA / former)

Doing business as

Noble Community Clinics

Additional practice locations (5)

• 207 S University Ave

  Beaver Dam, WI 53916-2450

  Phone: (920) 356-5012

  Fax: (920) 273-3169
• 1701 N Spring St

  Beaver Dam, WI 53916-1178

  Phone: (920) 644-0317

  Fax: (920) 644-0318
• 302 W Lake St

  Friendship, WI 53934-9698

  Phone: (800) 942-5330

  Fax: (608) 474-4309
• 880 Herriot Dr

  Mauston, WI 53948-2031

  Phone: (608) 847-6700

  Fax: (608) 847-6122
• 400 S Townline Rd

  Wautoma, WI 54982-6922

  Phone: (920) 787-5514

  Fax: (920) 787-4737