Provider Demographics
NPI:1447424270
Name:MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:MEDICAL SERVICES, INC.
Other - Org Name:TAMARACK HEALTH HAYWARD MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEIRL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-934-4244
Mailing Address - Street 1:11040 N STATE ROAD 77
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:WI
Mailing Address - Zip Code:54843-6391
Mailing Address - Country:US
Mailing Address - Phone:715-934-4321
Mailing Address - Fax:715-934-4379
Practice Address - Street 1:11040 N STATE ROAD 77
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:WI
Practice Address - Zip Code:54843-6391
Practice Address - Country:US
Practice Address - Phone:715-934-4321
Practice Address - Fax:715-934-4379
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDICAL SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-14
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1040291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32945600Medicaid