Spooner Health Pharmacy

LBN: Spooner Health System
Spooner Health Pharmacy is an health care organization with primary practice located at 1280 Chandler Drive , Spooner WI 54801-1299. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Spooner Health System can be contacted via phone (715) 939-1746, or through Bassett, Tim via phone (715) 939-1746.

Contact Information

Primary practice address
1280 Chandler Drive Spooner WI 54801-1299
Phone: (715) 939-1746
Fax: (715) 939-1562
Website:
Map and Directions
Authorized official contact:
Name: Bassett, Tim RPH
Phone: (715) 939-1746

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 9407-42 Wisconsin

Profile Details

NPI number 1942245188
LBN Legal business name Spooner Health System
DBA Doing business as Spooner Health Pharmacy
Authorized official Bassett, Tim RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Aug 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942245188 NPPES
Other 2113053 PK
MEDICAID 33132300 PK

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