FAMILY HEALTH CENTER OF MARSHFIELD INC. (NPI# 1700261526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700261526 |
Entity Type | Organization |
Organization Name | FAMILY HEALTH CENTER OF MARSHFIELD INC. |
Practice Address |
8 Boon Blvd Neillsville WI 54456-2176 |
Mailing Address |
1000 N Oak Ave P.o. Box 7900 Marshfield WI 54449-5703 |
Practice Telephone | 7157431900 |
Mailing Telephone | 7153894574 |
Enumeration Date | 2015-07-22 |
Last Update Date | 2016-06-15 |
Authorized Official Name | MR. GREGORY R NYCZ (DIRECTOR OF FAMILY HEALTH CENTER) |
Authorized Official Telephone | 7153879137 |
Is Organization Subpart | Y |
Parent Organization Name | FAMILY HEALTH CENTER OF MARSHFIELD INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
8 BOON BLVD |
City | NEILLSVILLE |
State | WI |
Zip Code | 54456-2176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982833497 | Daniel Martin Fallon | Dentist | 8 Boon Blvd, Marshfield Clinic Dental Center - Neillsville, Neillsville, WI 54456-2176 | 2009-07-06 |
1972095339 | Maryann Alyce Forsell | Dentist | 8 Boon Blvd, Neillsville, WI 54456-2176 | 2018-06-01 |
1457715716 | Aaron Mertz | Dentist | 8 Boon Blvd, Neillsville, WI 54456-2176 | 2016-04-12 |
1326326364 | Andrew W. Engel | Dentist | 8 Boon Blvd, Neillsville, WI 54456-2176 | 2011-07-25 |
1154633436 | Andrew D. Schneider | Dentist | 8 Boon Blvd, Neillsville, WI 54456-2176 | 2010-07-02 |
1629394416 | James Adam Jenders | Dentist | 8 Boon Blvd, Neillsville, WI 54456-2176 | 2010-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629504840 | Wendy Langreck | Physical Therapy Assistant | N4036 Marg Ave, Neillsville, WI 54456 | 2017-05-08 |
1023442084 | Kayla E Martin | Physical Therapist | Marshfield Medical Center- Neillsville, 216 Sunset Place, Neillsville, WI 54456 | 2013-08-27 |
1942553136 | Nicole Renee Symons | Occupational Therapy Assistant | 316 Sunset Pl, Neillsville, WI 54456 | 2012-10-25 |
1679883433 | Sandra Lee Back | Registered Nurse | 1402 Hewett St, Neillsville, WI 54456 | 2010-10-14 |
1497967301 | Abby Vans Inc. | Non-emergency Medical Transport (VAN) | W5621 Todd Road, Neillsville, WI 54456 | 2007-05-04 |
1487637823 | Linda L Kyser | Dietitian, Registered | 216 Sunset Place, Memorial Medical Center Memorial Hospital Inc, Nellsville, WI 54456 | 2005-11-21 |
1013017938 | Louis A Benoist | Orthopaedic Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-09-22 |
1114955275 | Constante S. Avecilla | Surgery | 216 Sunset Place, Memorial Medical Center, Neillsville, WI 54456 | 2006-06-29 |
1992780464 | Memorial Hospital, Inc. | Skilled Nursing Facility | 216 Sunset Place, Memorial Medical Center Health & Rehabilitation, Neillsville, WI 54456 | 2005-12-07 |
1295877363 | John Scaletta D.d.s.ltd. | Dentist | 808 West Fifth St., Neillsville, WI 54456-0067 | 2007-02-13 |
Find all providers in zip 54456 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
Find all providers with the same taxonomy |
City | NEILLSVILLE |
Zip Code | 54456 |
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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.