WATER CITY CARE MISSION, INC.


Address: 449 High Ave., Oshkosh, WI 54901-4708
Phone: 9202346970

WATER CITY CARE MISSION, INC. (NPI# 1154929909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154929909
Entity Type Organization
Organization Name WATER CITY CARE MISSION, INC.
Practice Address 449 High Ave.
Oshkosh
WI 54901-4708
Practice Telephone 9202346970
Practice Fax Number 9207442488
Mailing Telephone 9202346970
Mailing Fax Number 9207442488
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Authorized Official Name DR. BRIANNA M. KLOTZ (DIRECTOR)
Authorized Official Telephone 9202346970
Authorized Official Credential APNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor Chiropractic Providers
N 367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
St. Anne's Clinic Doing Business As Name - Organization

Office Location

Street Address 449 HIGH AVE.
City OSHKOSH
State WI
Zip Code 54901-4708

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023657855 Kayla Crockett Specialist/Technologist Kolf Sports Center, Oshkosh, WI 54901 2019-12-26
1629593421 Taymoor Sardar Psychologist 404 N. Main St., Suite 501, Oshkosh, WI 54901 2017-08-14
1821414889 Chris Lynn Wiggs Registered Nurse 2150 Ontario St., Oshkosh, WI 54901 2014-03-13
1114359023 Robert James Rigoni Jr. Pharmacist 1300 S. Koeller Rd, Oshkosh, WI 54901 2013-08-01
1427313386 Scott Forrest Trippe Psychologist 627 Bayshore Drive, Oshkosh, WI 54901 2012-07-06
1003113135 Ashley Lauren Procknow Registered Nurse 105 Bowen St, Oshkosh, WI 54901 2011-02-25
1982915963 Benjamin Ross Goldstein Psychiatry & Neurology 4100 Treffert Dr., Oshkosh, WI 54901 2010-06-24
1982926234 Patricia A Pendowski Counselor 3240 Jackson Street, Oshkosh, WI 54901 2010-02-26
1083867477 Lori Marie Pierquet Psychologist 375 C Executive Suites, City Center, Oshkosh, WI 54901 2008-10-29
1346493228 William Alexander Hammond Dentist 5252 I-ah-maytah Rd., Oshkosh, WI 54901 2008-10-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629683065 Yia Lor Nurse Practitioner 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 2020-09-11
1033670088 Jennifer Krueger Nurse Practitioner 1304 Tammy Rd, Oshkosh, WI 54904-9310 2019-03-30
1457822058 John Concepcion Nurse Practitioner 4485 Ravine Way, Oshkosh, WI 54904-7150 2018-12-08
1750479820 Mary K Friess Nurse Practitioner 500 Algoma Blvd, Uw Oshkosh - College of Nursing, Oshkosh, WI 54901 2006-10-11
1346335734 Jill M Collier Nurse Practitioner 2310 Westowne Ave, Oshkosh, WI 54904-7778 2006-10-03
1154947851 Kristian Noelle Bastress Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2020-06-19
1629547633 Tosha Wright Nurse Practitioner 2700 W 9th Ave, Oshkosh, WI 54904-7247 2018-11-19
1881197028 Angela Marie Beach Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2018-03-14
1518340090 Ruth Staszak Nurse Practitioner 1855 S Koeller St, Oshkosh, WI 54902-6186 2015-07-02
1528460839 Kristi Ziolkowski Nurse Practitioner 777 Algoma Blvd, Radford Hall, Student Health Center, Oshkosh, WI 54901-3534 2014-09-17
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Competitor

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City OSHKOSH
Zip Code 54901

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Dataset Information

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.

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