MARSHFIELD CLINIC (NPI# 1093947137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093947137 |
| Entity Type | Organization |
| Organization Name | MARSHFIELD CLINIC |
| Other Organization Name | MARSHFIELD CLINIC PHARMACY |
| Practice Address |
1700 W Stout St Rice Lake WI 54868-5000 |
| Mailing Address |
1000 N Oak Ave Marshfield WI 54449-5703 |
| Practice Telephone | 7152368103 |
| Mailing Telephone | 7153875511 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2010-03-08 |
| Authorized Official Name | DR. DAVID J. SIMENSTAD (MEDICAL DIRECTOR REIMBURSEMENT) |
| Authorized Official Telephone | 7153875511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MARSHFIELD CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 8825 | WI | Suppliers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
8825 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Marshfield Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639484074 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 2661 County Hwy I, Chippewa Falls, WI 54729-5407 | 2010-08-10 |
| 1437477825 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 945 S. Detloff Dr., Arcadia, WI 54612-1895 | 2010-05-10 |
| 1801113584 | Marshfield Clinic | Pharmacy | 5110 N Hwy 51, Mercer, WI 54547-8900 | 2010-04-21 |
| 1225267834 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 2600 Stewart Center, Wausau, WI 54401-1403 | 2009-07-06 |
| 1467641738 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 1002 W Clairemont Ave, Eau Claire, WI 54701-6123 | 2007-10-23 |
| 1669551925 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 3500 Stewart Ave, Wausau, WI 54401-4919 | 2006-11-06 |
| 1720164676 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 141 N. Main St., Loyal, WI 54446 | 2006-10-31 |
| 1376902130 | Marshfield Clinic | Non-Pharmacy Dispensing Site | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2016-02-22 |
| 1982025441 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 4956 Bullis Farm Rd, Eau Claire, WI 54701-5168 | 2013-12-30 |
| 1811267537 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 410 Dewey St, Riverview Medical Center - West Building, Wisconsin Rapids, WI 54495-8075 | 2012-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MARSHFIELD CLINIC | 1000 N Oak Ave, Marshfield, WI 54449-5703 |
| Colorado Business Entities | Marshfield Clinic Health System INC | 1000 North Oak Ave, Attn: Payroll, Marshfield, WI 54449 |
| Alabama Business Registrations | MARSHFIELD CLINIC HEALTH SYSTEM INC | 1000 N Oak Ave, Marshfield, WI 54449 |
| System for Award Management (SAM) Entities | MARSHFIELD CLINIC HEALTH SYSTEM, INC. | 1000 N Oak Ave, Marshfield, WI 54449-5703 |
| Colorado Business Entities | MARSHFIELD CLINIC INFORMATION SERVICES, INC | 1701 N Fig Ave, Marshfield, WI 54449 |
| Street Address |
1700 W STOUT ST |
| City | RICE LAKE |
| State | WI |
| Zip Code | 54868-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608352 | Jeffrey J Anderegg | Anesthesiology | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2005-06-13 |
| 1598382061 | Shelly Renee Anderson | Nurse Practitioner | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2020-07-01 |
| 1790320687 | Lakeview Medical Center, Inc. of Rice Lake | Clinic/Center | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-11-14 |
| 1114578457 | Kayla Lynn Jenness | Registered Nurse | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-09-27 |
| 1962059709 | Norsha May Scheil | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-08-26 |
| 1336791748 | Kelsey Kristine Hansen | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-07-15 |
| 1154888691 | Anika Whiting | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-02-20 |
| 1861975211 | Kari Flom | Dietitian, Registered | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2018-09-12 |
| 1760963862 | Elizabeth Bohrer | Student in an Organized Health Care Education/Training Program | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2018-08-27 |
| 1750861191 | Stephanie Guest | Physician Assistant | 1700 W Stout St, Rice Lake, WI 54868 | 2018-08-15 |
| Find all providers in the same location | ||||
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 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 | ||||
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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.