MILE BLUFF MEDICAL CENTER INC (NPI# 1104162841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104162841 |
| Entity Type | Organization |
| Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Other Organization Name | NEW LISBON FAMILY MEDICAL CENTER |
| Practice Address |
901 W Bridge St New Lisbon WI 53950-1083 |
| Practice Telephone | 6088476161 |
| Practice Fax Number | 6088472079 |
| Mailing Telephone | 6088476161 |
| Mailing Fax Number | 6088472079 |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2014-11-13 |
| Authorized Official Name | JAMES M OKEEFE (PRESIDENT) |
| Authorized Official Telephone | 6088476161 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 134 | WI | Suppliers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
134 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New Lisbon Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447397492 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1408 Wheelihan Ave, Necedah, WI 54646-8253 | 2007-01-31 |
| 1487734380 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2006-10-16 |
| 1932124898 | Mile Bluff Medical Center Inc | Skilled Nursing Facility | 612 View St, New Lisbon, WI 53950-1079 | 2006-07-13 |
| 1316324395 | Mile Bluff Medical Center Inc | Clinic/Center | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2015-04-29 |
| 1356785240 | Mile Bluff Medical Center Inc | Non-Pharmacy Dispensing Site | 1050 Division St, Mauston, WI 53948-1931 | 2013-04-22 |
| 1548506165 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1104 21st St, Reedsburg, WI 53959-1156 | 2012-12-31 |
| 1093051617 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 402 W Lake St, Friendship, WI 53934-9699 | 2012-12-31 |
| 1275879884 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 321 Butts Ave, Tomah, WI 54660-1412 | 2012-12-31 |
| 1881930527 | Mile Bluff Medical Center Inc | Clinic/Center | 1040 Division St, Mauston, WI 53948-1931 | 2012-12-28 |
| 1356589394 | Mile Bluff Medical Center Inc | Non-emergency Medical Transport (VAN) | 1050 Division St, Mauston, WI 53948-1931 | 2009-01-29 |
| Street Address |
901 W BRIDGE ST |
| City | NEW LISBON |
| State | WI |
| Zip Code | 53950-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780674929 | Gloria J. Nachreiner | Physician Assistant | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-10-27 |
| 1427413483 | Mile Bluff Medical Center | Clinic/Center | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2015-12-17 |
| 1700867082 | Anne B. Fenwick | Physician Assistant | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-11-14 |
| 1437149598 | Timothy R. Hinton | Family Medicine | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
| 1093937807 | Regine Marie-pierre Radavich | Registered Nurse | W6496 37th Street, New Lisbon, WI 53950 | 2007-05-02 |
| 1205990538 | Charles M Rubash | Dentist | 600 S Monroe, New Lisbon, WI 53950 | 2006-12-21 |
| 1932124898 | Mile Bluff Medical Center Inc | Skilled Nursing Facility | 612 View St, New Lisbon, WI 53950-1079 | 2006-07-13 |
| 1174717656 | New Lisbon School District | Local Education Agency (LEA) | 500 S Forest St, New Lisbon, WI 53950-1119 | 2007-08-28 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1487265906 | Abigail Geis | Psychologist | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-08-10 |
| 1326123498 | Raabe's Pharmacy S.c. | Pharmacy | 112 S Adams St, New Lisbon, WI 53950-1206 | 2006-10-26 |
| 1861999856 | Mbmc Raabe Pharmacy, LLC | Pharmacy | 112 S Adams St, New Lisbon, WI 53950-1206 | 2018-04-07 |
| 1053664086 | Thomas A Raabe | Pharmacist | 112 S Adams St, New Lisbon, WI 53950-1206 | 2012-10-15 |
| Find all providers in zip 53950 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123218 | Mchs Hospitals, Inc. | Clinic/Center | 3606 Schneider Ave Se, Menomonie, WI 54751-5674 | 2020-01-13 |
| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW LISBON |
| Zip Code | 53950 |
Please comment or provide details below to improve the information on MILE BLUFF MEDICAL CENTER INC.
| 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.