HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEATLH CARE (NPI# 1285749341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285749341 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEATLH CARE |
| Other Organization Name | NORTH CENTRAL HEALTH CARE |
| Practice Address |
213 W Wisconsin Ave Tomahawk WI 54487-1238 |
| Mailing Address |
1100 Lake View Dr Wausau WI 54403-6785 |
| Practice Telephone | 7154535381 |
| Mailing Telephone | (715) 848-4600 |
| Mailing Fax Number | 7158455398 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | MICHAEL LOY (INTERIM CEO) |
| Authorized Official Telephone | 7158484600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1681 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42172800 | 05 |
| Other Name | Type Code |
|---|---|
| North Central Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134234206 | Human Services Board Serving North Central Heatlh Care | Clinic/Center | 1225 Langlade Rd, Antigo, WI 54409-2762 | 2006-08-20 |
| Street Address |
213 W WISCONSIN AVE |
| City | TOMAHAWK |
| State | WI |
| Zip Code | 54487-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912170564 | Tracey Jane Wise | Speech-Language Pathologist | 702 E King Rd, Tomahawk, WI 54487 | 2008-04-03 |
| 1912100280 | Michael Patrick Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1548463813 | Dewey Nickels Reilly | Dentist | 1018 Kings Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1972723716 | Northern Sight Vision Clinic, LLC | Optometrist | 318 N. 6th Street, Tomahawk, WI 54487 | 2007-04-26 |
| 1003974411 | Larry A Hagen | Optometrist | 318 North 6th St, Tomahawk, WI 54487 | 2006-12-05 |
| 1922174648 | Robert David Imm | Dentist | 318 N Sixth St, Tomahawk, WI 54487 | 2006-11-27 |
| 1962480707 | Stoxen Pharmacy | Pharmacy | 12 W Wisconsin Avenue, Tomahawk, WI 54487 | 2006-01-03 |
| 1841670015 | Jill Vanstrydonk | Physical Therapy Assistant | 202 W Mohawk Dr, Ministry Head 2 Toe Therapy, Tomahawk, WI 54487 | 2015-06-03 |
| 1063615342 | Reilly Family Dental LLC | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| 1780887067 | Dewey Irving Reilly | Dentist | 1018 King Rd, Tomahawk, WI 54487 | 2007-06-06 |
| Find all providers in zip 54487 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1811412091 | H2o:health Hydration Oasis | Clinic/Center | 17110 W Greenfield Ave Ste 6, Brookfield, WI 53005-6899 | 2017-08-08 |
| 1003336884 | 3d Brows and Wellness LLC | Clinic/Center | 801 Hoffman Rd Ste 106, Green Bay, WI 54301-1462 | 2017-06-22 |
| 1437529120 | Quad/med, LLC | Clinic/Center | W227 N6103 Sussex Rd, Sussex, WI 53089 | 2015-10-07 |
| 1891106092 | Wisconsin Wellness Clinic | Clinic/Center | 280 Regency Ct, Suite 100, Brookfield, WI 53045-6165 | 2014-05-11 |
| 1437317708 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1160 Service Rd, Kiel, WI 53042 | 2008-05-23 |
| 1679731954 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 1128 E Parkway Ave, Oshkosh, WI 54901 | 2008-05-23 |
| 1669639142 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | N9642 County Rd N, Appleton, WI 54915 | 2008-05-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEATLH CARE.
| 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.