MARSHFIELD CLINIC INC (NPI# 1003980830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003980830 |
| Entity Type | Organization |
| Organization Name | MARSHFIELD CLINIC INC |
| Other Organization Name | MARSHFIELD CLINIC PHARMACY |
| Practice Address |
1700 W Stout St Ste 300 Rice Lake WI 54868 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7152368103 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | DAVID J SIMENSTAD (MEDICAL DIRECTOR REIMBURSEMENT) |
| Authorized Official Telephone | 7153875511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHFIELD CLINIC INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33190000 | 05 |
| Other Name | Type Code |
|---|---|
| Marshfield Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1194066357 | Marshfield Clinic Inc | Clinic/Center | 1400 Laemle Ave, Marshfield, WI 54449-4651 | 2013-03-12 |
| 1992023295 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 630 S. Central Ave., Suite 106, Marshfield, WI 54449-4196 | 2010-05-11 |
| 1083790604 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 212800 Stainless Ave, Stratford, WI 54484-4325 | 2006-10-27 |
| 1437520640 | Marshfield Clinic Inc | Clinic/Center | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2015-10-14 |
| 1649649187 | Marshfield Clinic Inc | Clinic/Center | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2015-09-15 |
| 1881063329 | Marshfield Clinic Inc | Clinic/Center | 9601 Townline Rd, Minocqua, WI 54548-9099 | 2015-09-15 |
| 1376859546 | Marshfield Clinic Inc | Clinic/Center | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2010-08-26 |
| 1245435015 | Marshfield Clinic Inc | Pharmacy | 3501 Cranberry Blvd, Weston, WI 54476-5213 | 2007-06-20 |
| Street Address |
1700 W STOUT ST STE 300 |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170791 | Samantha Barg | Physical Therapist | 1035 N. Main Street, Rice Lake, WI 54868 | 2019-05-29 |
| 1023597531 | Alison Joe Thorpe | Respite Care | 336 Gerland Rd, Rice Lake, WI 54868 | 2018-08-07 |
| 1669997946 | Char Mlejnek | Registered Nurse | 1700 W. Stout Street, Rice Lake, WI 54868 | 2017-08-08 |
| 1801344650 | Cumberland Memorial Hospital Inc | Occupational Therapist | 1895 20 1/2 Avenue, Rice Lake, WI 54868 | 2016-09-21 |
| 1851849814 | Leroy A Odden | Registered Nurse | 2135 20 1/8 Ave, Rice Lake, WI 54868 | 2016-09-19 |
| 1871903799 | Courtney Lange | Occupational Therapist | 910 Bear Paw Avenue, Rice Lake, WI 54868 | 2014-04-30 |
| 1063859130 | Mikeal Robert Ostrander | Optometrist | 320 County Highway O, Shopko Optical, Rice Lake, WI 54868 | 2013-05-30 |
| 1487976239 | Dale Henry Pracht | Pharmacist | 2601 South Main St, Kmart Pharmacy, Rice Lake, WI 54868 | 2010-02-22 |
| 1104159870 | Dianne Marie Thompson | Hearing Instrument Specialist | 212 S. Main St., Rice Lake, WI 54868 | 2009-09-14 |
| 1760646806 | Lori Ann Click Gray | Pediatrics | 736 Pine Place, Rice Lake, WI 54868 | 2008-07-17 |
| Find all providers in zip 54868 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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] |
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| 1295208114 | Aurora Pharmacy Inc | Pharmacy | 1475 W Grand Ave Ste 100, Port Washington, WI 53074-2074 | 2019-01-03 |
| 1144705880 | Aurora Pharmacy Inc. | Pharmacy | 135 Jackson St Ste 100, Oshkosh, WI 54901-4713 | 2018-09-28 |
| 1336634229 | Aurora Pharmacy Inc. | Pharmacy | 3003 University Dr Ste 1, Marinette, WI 54143-4110 | 2018-06-25 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1629592688 | Aurora Pharmacy Inc | Pharmacy | 200 E Ryan Rd Ste 101, Oak Creek, WI 53154-4563 | 2017-08-01 |
| 1003362179 | Aurora Pharmacy Inc | Pharmacy | 12500 Aurora Dr Ste 1000, Pleasant Prairie, WI 53158-1227 | 2016-08-29 |
| 1578984571 | Aurora Pharmacy Inc. | Pharmacy | 201 E. Morrissey Dr, Suite 100, Elkhorn, WI 53121 | 2013-12-18 |
| 1952630857 | Marshfield Clinic, Inc. | Pharmacy | 1000 N Oak Ave Ste 300, Marshfield, WI 54449 | 2009-12-24 |
| 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.