ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (NPI# 1013132430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013132430 |
Entity Type | Organization |
Organization Name | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. |
Other Organization Name | ASPIRUS PHARMACY - MEDFORD |
Practice Address |
139 S Gibson St Medford WI 54451 |
Mailing Address |
135 S Gibson St Medford WI 54451-1622 |
Practice Telephone | 7157485800 |
Practice Fax Number | 7157487599 |
Mailing Telephone | 7157488100 |
Mailing Fax Number | 7157488199 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-02-18 |
Authorized Official Name | GREG SHAW (VP OF FINANCE) |
Authorized Official Telephone | 7157488159 |
Is Organization Subpart | Y |
Parent Organization Name | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33252200 | 05 |
Other Name | Type Code |
---|---|
ASPIRUS PHARMACY - MEDFORD | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
1891971768 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 625 Peterson Av, Phillips, WI 54555-1430 | 2008-01-10 |
1154468205 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 619 Bridge St, Prentice, WI 54556-1131 | 2007-01-30 |
1285703173 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 320 East Main, Gilman, WI 54433 | 2006-11-07 |
1710066584 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 1511 Railroad Ave, Prentice, WI 54556-1155 | 2006-11-03 |
1104922814 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 103 South Gibson St, Medford, WI 54451-1622 | 2006-09-16 |
1760912919 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 729 Pine St, Athens, WI 54411-9305 | 2017-06-19 |
1639573009 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 1011 E Spruce St, Suite 6, Abbotsford, WI 54405-9647 | 2014-10-14 |
1164542528 | Aspirus Medford Hospital & Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 135 S Gibson St, Medford, WI 54451-1622 | 2007-03-30 |
1427105923 | Aspirus Medford Hospital & Clinics, Inc. | General Acute Care Hospital | 135 S Gibson St, Medford, WI 54451-1622 | 2007-01-05 |
Street Address |
139 S GIBSON ST |
City | MEDFORD |
State | WI |
Zip Code | 54451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679799035 | James Michael Lombard | Pharmacist | 139 S Gibson St, Medford, WI 54451 | 2007-04-17 |
1578788923 | Victor Earl Schiszik | Pharmacist | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
1306992854 | Cheryl Joyce Christoffersen | Counselor | 136 W Broadway, Medford, WI 54451 | 2007-01-26 |
Find all providers in zip 54451 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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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1205043387 | Walgreen Co | Pharmacy | 210 E Barnett Rd, Medford, OR 97501-7928 | 2007-05-17 |
1285717520 | New Jersey Cvs Pharmacy LLC | Pharmacy | 137 Route 70, Medford, NJ 08055-2378 | 2006-10-23 |
1598864944 | Cvs Pharmacy Inc | Pharmacy | 590 Fellsway, Medford, MA 02155-4925 | 2006-09-22 |
1124127576 | Cvs Pharmacy Inc | Pharmacy | 55 Riverside Ave, Medford, MA 02155-4605 | 2006-09-22 |
1780781625 | Medford Pharmacy Group LLC | Pharmacy | 2355 W Main St, Medford, OR 97501 | 2006-09-20 |
1669576427 | Cvs Albany LLC | Pharmacy | 1565 Route 112, Medford, NY 11763-3647 | 2006-09-12 |
1548375322 | Medford Shoprite, Inc. | Pharmacy | 208 Route 70, Medford, NJ 08055-9522 | 2006-08-20 |
1518998079 | Walgreen Co | Pharmacy | 49 Station Lndg, Medford, MA 02155-5192 | 2006-07-05 |
Find all providers in MEDFORD |
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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.