EAUCLAIRE OPEN MRI, LLC (NPI# 1841293552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841293552 |
| Entity Type | Organization |
| Organization Name | EAUCLAIRE OPEN MRI, LLC |
| Other Organization Name | CHIPPEWA VALLEY OPEN MRI |
| Practice Address |
4130 State Road 93 Eau Claire WI 54701-7806 |
| Mailing Address |
4130 State Hwy 93 Eau Claire WI 54701-7806 |
| Practice Telephone | 7158309507 |
| Practice Fax Number | 7158309609 |
| Mailing Telephone | 7158309507 |
| Mailing Fax Number | 7158309609 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5024771815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32880400 | 05 |
| Other Name | Type Code |
|---|---|
| Chippewa Valley Open MRI | Doing Business As Name - Organization |
| Street Address |
4130 STATE ROAD 93 |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563707 | Bellin Memorial Hospital Inc | Clinic/Center | 1241 Lombardi Access Rd Ste H, Green Bay, WI 54304-4059 | 2019-11-19 |
| 1457918781 | Smart Choice Mri LLC | Clinic/Center | 1580 Heritage Blvd, West Salem, WI 54669-9418 | 2019-05-22 |
| 1225407075 | Smart Choice Mri, LLC | Clinic/Center | 3525 E Calumet St Ste 1500, Appleton, WI 54915-4181 | 2015-09-23 |
| 1356397616 | Newisconsin Mri Center of Green Bay LLC | Clinic/Center | 2141 Lime Kiln Rd, Green Bay, WI 54311-6215 | 2006-05-26 |
| 1518920883 | Bellin Memorial Hospital Inc | Clinic/Center | 740 S Vanburen St, Green Bay, WI 54301 | 2006-04-08 |
| 1457356321 | West Bend Open Mri, LLC | Clinic/Center | 1016 Gateway Ct, West Bend, WI 53095-8541 | 2005-06-16 |
| 1881697837 | Fox Valley Open Mri, LLC | Clinic/Center | 201 W Northland Ave, Appleton, WI 54911-2039 | 2005-05-23 |
| 1992268262 | Smart Choice Mri LLC | Clinic/Center | 1716 Lawrence Dr, De Pere, WI 54115-9108 | 2019-04-12 |
| 1548713506 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2016-07-26 |
| 1295100337 | Smart Choice Mri, LLC | Clinic/Center | 10532 N Port Washington Rd, Suite 1b, Mequon, WI 53092-5563 | 2015-12-01 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.