EDGERTON HOSPITAL AND HEALTH SERVICES (NPI# 1154350049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154350049 |
| Entity Type | Organization |
| Organization Name | EDGERTON HOSPITAL AND HEALTH SERVICES |
| Practice Address |
11101 N Sherman Rd Edgerton WI 53534-9002 |
| Practice Telephone | 6088843441 |
| Practice Fax Number | 6088841669 |
| Mailing Telephone | 6088843441 |
| Mailing Fax Number | 6088841669 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | CHARLES ROEDER (CFO) |
| Authorized Official Telephone | 6088843441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
1022 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32831000 | 05 | |
| WI | 11008610 | 05 | |
| WI | 11008600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366884074 | Edgerton Hospital and Health Services | Surgery | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2013-07-23 |
| 1891098976 | Edgerton Hospital and Health Services | Non-Pharmacy Dispensing Site | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2010-12-13 |
| 1326192261 | Edgerton Hospital and Health Services | General Acute Care Hospital | 831 Arthur Dr, Milton, WI 53563-3728 | 2007-01-22 |
| 1396806659 | Edgerton Hospital and Health Services | Medicare Defined Swing Bed Unit | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-12-12 |
| Street Address |
11101 N SHERMAN RD |
| City | EDGERTON |
| State | WI |
| Zip Code | 53534-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143194 | Jenna Morse | Occupational Therapist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2020-01-16 |
| 1245776384 | Wil Hospitalists LLC | Internal Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2017-01-12 |
| 1972048429 | Bhanu P Sankineni LLC | Internal Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2016-12-19 |
| 1619345998 | Edgerton Hospital & Health Services | General Practice | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2015-09-03 |
| 1891098976 | Edgerton Hospital and Health Services | Non-Pharmacy Dispensing Site | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2010-12-13 |
| 1821264003 | Roger William Schmitz | Speech-Language Pathologist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2008-05-07 |
| 1871796946 | Ann Terese Rudel | Occupational Therapy Assistant | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-06-07 |
| 1649473802 | Tanya R Getchell | Emergency Medical Technician, Intermediate | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-06-06 |
| 1487868964 | Joshua A Mou | Emergency Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-05-10 |
| 1588782403 | Angela M Moll | Occupational Therapist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
| 1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| 1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
| 1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
| 1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
| 1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
| 1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
| 1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
| 1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
| Find all providers in zip 53534 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1255662573 | Donald Morris Levy | General Acute Care Hospital | 4348 W Tarrytown Ln, Mequon, WI 53092-4850 | 2010-01-26 |
| 1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
| 1104953090 | New Anesthesia | General Acute Care Hospital | 1236 Stillmeadow Ln, Menasha, WI 54952-8920 | 2007-02-27 |
| 1184765240 | Tomah Memorial Hospital Inc | General Acute Care Hospital | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-10 |
| 1194737817 | Chippewa Valley Hospital & Oakview Care Center, Inc. | General Acute Care Hospital | 1220 3rd Ave W, Durand, WI 54736-1600 | 2006-08-12 |
| 1881640183 | Westfields Hospital, Inc. | General Acute Care Hospital | 535 Hospital Road, New Richmond, WI 54017-1449 | 2006-05-26 |
| 1053362624 | Ripon Medical Center Inc | General Acute Care Hospital | 845 Parkside Street, Ripon, WI 54971-8505 | 2006-05-16 |
| 1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
| 1114987054 | Lafayette County | General Acute Care Hospital | 800 Clay St, Darlington, WI 53530-1228 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
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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.