WESTERN WISCONSIN MEDICAL ASSOCIATES (NPI# 1255324752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324752 |
| Entity Type | Organization |
| Organization Name | WESTERN WISCONSIN MEDICAL ASSOCIATES |
| Other Organization Name | VIBRANT HEALTH FAMILY CLINICS |
| Practice Address |
1687 E Division St River Falls WI 54022-1571 |
| Practice Telephone | 7154256701 |
| Practice Fax Number | 7154263994 |
| Mailing Telephone | 7154256701 |
| Mailing Fax Number | 7154263994 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | KERITH W LIJEWSKI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7154256701 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32748700 | 05 |
| Other Name | Type Code |
|---|---|
| Vibrant Health Family Clinics | Doing Business As Name - Organization |
| Street Address |
1687 E DIVISION ST |
| City | RIVER FALLS |
| State | WI |
| Zip Code | 54022-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467453597 | Jon V. Thomas | Otolaryngology | 1687 E Division St, River Falls, WI 54022-1571 | 2005-08-10 |
| 1215572813 | Healtheast Medical Research Insititue | Clinic/Center | 1687 E Division St, River Falls, WI 54022-1571 | 2019-11-07 |
| 1861041931 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 1687 E Division St, River Falls, WI 54022-1571 | 2019-09-10 |
| 1811550155 | Fairview Clinics | Specialist | 1687 E Division St, River Falls, WI 54022-1571 | 2019-04-22 |
| 1962936120 | Kaitlyn Michelle Bader | Pharmacist | 1687 E Division St, River Falls, WI 54022-1571 | 2017-04-14 |
| 1144608589 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1687 E Division St, River Falls, WI 54022-1571 | 2015-05-18 |
| 1144507740 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 1687 E Division St, Unit 2, River Falls, WI 54022-1571 | 2011-11-10 |
| 1144542465 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 1687 E Division St, River Falls, WI 54022-1571 | 2010-03-01 |
| 1659548832 | Amaris Moore | Family Medicine | 1687 E Division St, River Falls, WI 54022-1571 | 2008-05-15 |
| 1700064110 | Monica J Pesavento | Family Medicine | 1687 E Division St, River Falls, WI 54022-1571 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437705225 | Speech Remedies LLC | Speech-Language Pathologist | 120 E Johnson St, River Falls, WI 54022 | 2019-08-16 |
| 1861998858 | Maegan Kay Olson | Specialist/Technologist | 185 Emogene Nelson Ave, River Falls, WI 54022 | 2018-03-30 |
| 1336539386 | Erin Mcniff-kirby | Counselor | 215 N 2nd St Ste 108, River Falls, WI 54022 | 2015-01-29 |
| 1215376744 | Romaine S. Hanson | Dietitian, Registered | N8072 State Road 29, River Falls, WI 54022 | 2013-06-18 |
| 1881904506 | John Laughlin IIi | Dentist | N7915 902nd St., River Falls, WI 54022 | 2010-10-15 |
| 1770705576 | Nora Edith Reid | Speech-Language Pathologist | W10356 Hwy 29, River Falls, WI 54022 | 2007-05-02 |
| 1790834885 | Sharyl Anne Samargia | Speech-Language Pathologist | 410 South Third St, River Falls, WI 54022 | 2007-01-09 |
| 1689721110 | Naomi Hashimoto | Speech-Language Pathologist | 410 S Third St, Speech Hearing Clinic, River Falls, WI 54022 | 2007-01-05 |
| 1255402582 | Stephen Schwalbach | Dentist | 650 South Main St, River Falls, WI 54022 | 2006-11-10 |
| 1225124290 | David A Page | Dentist | 107 East Locust Street, River Falls, WI 54022 | 2006-10-05 |
| Find all providers in zip 54022 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122097 | Whole You Acupuncture and Health Consulting LLC | Clinic/Center | 3330 University Ave Ste 205, Madison, WI 53705-2167 | 2020-10-21 |
| 1588275036 | Abifka Healthcare Inc. | Clinic/Center | 8725 S Wood Creek Dr, Oak Creek, WI 53154-7502 | 2020-08-10 |
| 1306483508 | Achieve Wellness Clinic | Clinic/Center | 1417 Winchester Way, Suite 6, Altoona, WI 54720-5472 | 2019-12-06 |
| 1386295061 | Careatc | Clinic/Center | 1400 E Wisconsin St, Delavan, WI 53115-1470 | 2019-09-24 |
| 1295386977 | Careatc | Clinic/Center | 4600 W Loomis Rd Ste 200, Greenfield, WI 53220-4858 | 2019-09-24 |
| 1639728496 | Quad/med, LLC | Clinic/Center | 725 South Street, Mayville, WI 53050 | 2019-09-05 |
| 1316505464 | New Richmond Family Care, LLC | Clinic/Center | 1500 Madison Ave # 5c, New Richmond, WI 54017-6693 | 2019-06-04 |
| 1609433705 | Activate Healthcare | Clinic/Center | 660 Vandeberg St, Baldwin, WI 54002-3251 | 2019-05-23 |
| 1043703838 | Interra Health Inc. | Clinic/Center | 5 Innovation Ct Ste B, Appleton, WI 54914-1739 | 2018-06-07 |
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| Find all providers with the same taxonomy | ||||
| City | RIVER FALLS |
| Zip Code | 54022 |
Please comment or provide details below to improve the information on WESTERN WISCONSIN MEDICAL ASSOCIATES.
| 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.