WPS HEALTH AND WELLNESS CENTER (NPI# 1508296237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508296237 |
| Entity Type | Organization |
| Organization Name | WPS HEALTH AND WELLNESS CENTER |
| Other Organization Name | QUADMED |
| Practice Address |
1707 W Broadway Monona WI 53713-1834 |
| Practice Telephone | 6082268020 |
| Practice Fax Number | 6082214029 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |
| Authorized Official Name | MR. CHARLES E CLARK (PHYSICIAN) |
| Authorized Official Telephone | 6082268020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | QUADMED |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | WI | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NPI | 1689713018 | 01 |
| Other Name | Type Code |
|---|---|
| QuadMed | Other Name - Individual/Organization |
| Street Address |
1707 W BROADWAY |
| City | MONONA |
| State | WI |
| Zip Code | 53713-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1255958781 | Family Connections Resource Center LLC | Preferred Provider Organization | 6830 W Villard Ave Ste 301, Milwaukee, WI 53218-3968 | 2020-06-30 |
| 1215572409 | Carla L Davis | Preferred Provider Organization | 3709 N. 41st Street, Milwaukee, WI 53216-3044 | 2019-11-12 |
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1649668179 | Guiding Hearts Home Health Care | Preferred Provider Organization | 2867 N 45th St, Milwaukee, WI 53210-1714 | 2015-01-07 |
| 1972919314 | Psychological & Hr Consulting LLC | Preferred Provider Organization | 4317 N Stowell Ave, Shorewood, WI 53211-1748 | 2014-07-07 |
| 1598195281 | Rexnord Health and Wellness Center | Preferred Provider Organization | 1301 W Canal St, Suite 200, Milwaukee, WI 53233-2667 | 2013-11-18 |
| 1679907828 | Life Touches Home Healthcare, LLC | Preferred Provider Organization | 4234 N 76th St, Suite A, Milwaukee, WI 53222-2002 | 2013-08-23 |
| 1164763926 | Jannah Home Healthcare | Preferred Provider Organization | 2133 W North Ave, Milwaukee, WI 53205-1133 | 2013-03-04 |
| 1003151366 | The Wellness Way Appleton | Preferred Provider Organization | W3169 Van Roy Rd, Ste #11, Appleton, WI 54915-3985 | 2012-11-27 |
| 1639446172 | Professional Home Care Providers | Preferred Provider Organization | 10152 8th Ave, Pleasant Prairie, WI 53158-5413 | 2011-11-29 |
| 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.