EAGLE RIVER MEMORIAL HOSPITAL (NPI# 1972944296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972944296 |
| Entity Type | Organization |
| Organization Name | EAGLE RIVER MEMORIAL HOSPITAL |
| Other Organization Name | MINISTRY EAGLE RIVER MEMORIAL HOSPITAL |
| Practice Address |
201 Hospital Rd Eagle River WI 54521-8835 |
| Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
| Practice Telephone | 7153568149 |
| Mailing Telephone | 9526532525 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Authorized Official Name | DENAE BACHMEIER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7153568149 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLE RIVER MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Ministry Eagle River Memorial Hospital | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAGLE RIVER MEMORIAL HOSPITAL, INCORPORATED | 201 Hospital Road, Eagle River, WI 54521-8835 |
| Street Address |
201 HOSPITAL RD |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521-8835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588015465 | Jordan Knopf | Physical Therapist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2016-06-22 |
| 1477938884 | Myrna Mitchell | Occupational Therapist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2015-07-27 |
| 1154608594 | Kathryn A Carr | Physical Therapy Assistant | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2011-11-14 |
| 1972792471 | Jenny Lee Jerabek | Speech-Language Pathologist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2007-10-20 |
| 1639291776 | Comprehensive Foot & Ankle, Sc | Podiatrist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2007-04-06 |
| 1548300460 | Northern Wisconsin Bone & Joint Center, Ltd | Orthopaedic Surgery | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2007-02-08 |
| 1497836589 | Lori Kramer | Occupational Therapist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-10-17 |
| 1790718542 | Ascension Eagle River Hospital, Inc | General Acute Care Hospital | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-07-07 |
| 1407894660 | Michael Deets | Pharmacist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-06-02 |
| 1699728915 | Ascension Eagle River Hospital, Inc | Emergency Medicine | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| Find all providers in zip 54521 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188100 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Non-Pharmacy Dispensing Site | 635 S 28th St, Milwaukee, WI 53215-1201 | 2020-03-03 |
| 1841845385 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 223 South Main St., Blair, WI 54616 | 2019-08-01 |
| 1982258737 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 919 Hoeschler Dr Ste 100, Sparta, WI 54656-2202 | 2019-07-30 |
| 1780142992 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 11040 N Range Line Rd, Mequon, WI 53092-4930 | 2019-03-06 |
| 1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1205355500 | Froedtert Health | Non-Pharmacy Dispensing Site | 4850 S 60th St, Greenfield, WI 53220-4616 | 2017-09-18 |
| 1790071637 | St Mary's Hospital Medical Center | Non-Pharmacy Dispensing Site | 2840 Okeeffe Ave, Sun Prairie, WI 53590-7077 | 2011-06-20 |
| 1629390729 | Jt Medical Services, Inc. | Non-Pharmacy Dispensing Site | 12855 West Lisbon Road, 2nd Floor, Brookfield, WI 53005 | 2010-02-17 |
| 1013243294 | Barron County Office On Aging | Non-Pharmacy Dispensing Site | 335 E. Monroe Avenue, Room 112, Barron, WI 54812-1478 | 2009-10-23 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
Please comment or provide details below to improve the information on EAGLE RIVER MEMORIAL HOSPITAL.
| 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.