FAMILY HEALTH CENTER OF MARSHFIELD, INC. (NPI# 1023452943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023452943 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER OF MARSHFIELD, INC. |
| Other Organization Name | FAMILY HEALTH CENTER/MARSHFIELD CLINIC-LAKE HALLIE CENTER |
| Practice Address |
12961 27th Ave Chippewa Falls WI 54729-5699 |
| Mailing Address |
1000 N Oak Ave P.o. Box 7900 Marshfield WI 54449-5703 |
| Practice Telephone | 7157383700 |
| Mailing Telephone | 7153894574 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | GREGORY R. NYCZ (DIRECTOR OF FAMILY HEALTH CENTER) |
| Authorized Official Telephone | 7153879137 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTER OF MARSHFIELD, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Health Center/Marshfield Clinic-Lake Hallie Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087211 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 729 Pine St, Athens, WI 54411-9305 | 2013-04-10 |
| 1437264140 | Family Health Center of Marshfield, Inc. | Counselor | 1307 N Saint Joseph Ave, Marshfield, WI 54449-1340 | 2006-08-20 |
| 1437550324 | Family Health Center of Marshfield, Inc. | Clinic/Center | 3501 Golf Rd, Eau Claire, WI 54701-8028 | 2014-09-10 |
| 1275933673 | Family Health Center of Marshfield, Inc. | Clinic/Center | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2014-09-04 |
| 1497155808 | Family Health Center of Marshfield, Inc. | Clinic/Center | 3603 Schneider Ave Se, Menomonie, WI 54751-5674 | 2014-09-04 |
| 1083014401 | Family Health Center of Marshfield, Inc. | Clinic/Center | 1000 Starr Ave, Eau Claire, WI 54703-1821 | 2014-09-04 |
| 1336553569 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2014-06-16 |
| 1629496930 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 850 Lakeland Dr, Chippewa Falls, WI 54729-1687 | 2014-04-03 |
| 1841634888 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 104 Trinity Dr, Phillips, WI 54555-1524 | 2013-04-22 |
| 1710321757 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 101 S Wisconsin Ave, Stratford, WI 54484-9692 | 2013-04-22 |
| Street Address |
12961 27TH AVE |
| City | CHIPPEWA FALLS |
| State | WI |
| Zip Code | 54729-5699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619942257 | Billie J. Hague | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-02-17 |
| 1831737048 | Janis Cekan | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2019-12-18 |
| 1649655952 | Dezeray Clare Matott | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2015-07-28 |
| 1235461872 | Sharon A. Koenig | Nurse Practitioner | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2010-02-08 |
| 1376789040 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2008-12-30 |
| 1033363262 | Marshfield Clinic | Pharmacy | 12961 27th Ave, Chippewa Falls, WI 54729 | 2008-11-14 |
| 1417042797 | Chau T Nguyen | Physician Assistant | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-10-04 |
| 1306931670 | Jeffrey Shepich | Family Medicine | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-10-04 |
| 1306947908 | Thomas D Sandager | Family Medicine | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-09-26 |
| 1063522134 | David L. Brucher | Physician Assistant | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963468 | Stephanie Ann Mclaughlin | Counselor | 345 Frenette Dr Ste 3, Chippewa Falls, WI 54729 | 2018-05-29 |
| 1841613148 | Terri Roberts | Nurse Practitioner | 2661 Cty Hwy I, Chippewa Falls, WI 54729 | 2014-01-23 |
| 1487928792 | Angela Marie Halbert | In Home Supportive Care | 5545 165th St, Chippewa Falls, WI 54729 | 2012-03-05 |
| 1679869739 | Furniture Loft, Inc. | Durable Medical Equipment & Medical Supplies | 1849 County Highway Oo, Chippewa Falls, WI 54729 | 2011-06-27 |
| 1184917825 | Joshua Paul Finn | Chiropractor | 17 East Central Street, Chippewa Falls, WI 54729 | 2011-05-26 |
| 1346540978 | St. Joseph's Hospital | Rehabilitation Hospital | 2661 County Road I, Chippewa Falls, WI 54729 | 2010-10-29 |
| 1770819773 | Chippewa Clinic Pharmacy | Pharmacy | 2509 County Hwy I, Chippewa Falls, WI 54729 | 2009-10-26 |
| 1689811853 | Clark Family Dental Inc | Dentist | 777 Park Avenue, Chippewa Falls, WI 54729 | 2009-01-09 |
| 1295995660 | Kelly S Abraham | Licensed Practical Nurse | 400 Pumphouse Rd, Apt #26, Chippewa Falls, WI 54729 | 2008-06-10 |
| 1225296700 | Wellington Hervey Davis Jr. | Registered Nurse | 721 Buttenhoff Rd, Chippewa Falls, WI 54729 | 2008-05-30 |
| Find all providers in zip 54729 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| Find all providers with the same taxonomy | ||||
| City | CHIPPEWA FALLS |
| Zip Code | 54729 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.