SCENIC BLUFFS HEALTH CENTER, INC. (NPI# 1104890078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104890078 |
| Entity Type | Organization |
| Organization Name | SCENIC BLUFFS HEALTH CENTER, INC. |
| Other Organization Name | SCENIC BLUFFS COMMUNITY HEALTH CENTERS |
| Practice Address |
238 Front St Cashton WI 54619 |
| Mailing Address |
Po Box 39 Cashton WI 54619-0039 |
| Practice Telephone | 6086545100 |
| Practice Fax Number | 6086545120 |
| Mailing Telephone | 6086545100 |
| Mailing Fax Number | 6086545120 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | MRS. MARI ROSE FREIBERG (DIRECTOR) |
| Authorized Official Telephone | 6086545100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33247200 | 05 | |
| WI | 32955800 | 05 |
| Other Name | Type Code |
|---|---|
| Scenic Bluffs Community Health Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1588639736 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North St., Norwalk, WI 54648-0228 | 2006-02-21 |
| 1689036865 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1124480306 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 540 Coe St, Cashton, WI 54619-2022 | 2016-03-25 |
| 1154783629 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 540 Coe St, Cashton, WI 54619-2022 | 2016-03-24 |
| 1518107366 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 238 Front St, Cashton, WI 54619-2002 | 2009-03-05 |
| 1326294448 | Scenic Bluffs Health Center, Inc. | Pharmacy | 238 Front St, Cashton, WI 54619-2002 | 2008-08-08 |
| Street Address |
238 FRONT ST |
| City | CASHTON |
| State | WI |
| Zip Code | 54619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791067 | Mark S Heberlein | Neuromusculoskeletal Medicine & OMM | 238 Front St, Cashton, WI 54619-2002 | 2005-06-22 |
| 1144841495 | Heather Suby | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2020-04-28 |
| 1679110670 | Caroline Glover | Massage Therapist | 238 Front St, Cashton, WI 54619-2002 | 2019-12-09 |
| 1447896337 | Joanna Lovato | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2019-11-26 |
| 1225699887 | Ellen S Arndorfer | Acupuncturist | 238 Front St, Cashton, WI 54619-2002 | 2019-06-25 |
| 1457874141 | Anne Lovelace | Counselor | 238 Front St, Cashton, WI 54619-2002 | 2017-07-25 |
| 1831612746 | Katherine Grace O Connor | Dental Hygienist | 238 Front St, Cashton, WI 54619-2002 | 2017-07-23 |
| 1386195352 | Janet Nachowicz | Counselor | 238 Front St, Cashton, WI 54619-2002 | 2016-10-14 |
| 1316344450 | Terri Mroch | Dentist | 238 Front St, Cashton, WI 54619-2002 | 2014-12-03 |
| 1407285521 | John Mears | Dentist | 238 Front St, Cashton, WI 54619-2002 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851631865 | Danielle Ann Dale | Dental Hygienist | 2383 Front St, Cashton, WI 54619 | 2013-02-28 |
| 1497050348 | Martin E. Mytas D.c.,s.c. | Chiropractor | 1103 Front St., Cashton, WI 54619 | 2011-01-24 |
| 1558357020 | James R Sueppel | Dentist | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2005-09-21 |
| 1417106048 | Stacey L. Markuson | Nurse Practitioner | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2008-09-18 |
| 1295833986 | David B Townsend | Dentist | 238 Front Street, Scenic Bluffs Health Center, Cashion, WI 54619 | 2006-09-20 |
| 1033126198 | Sandra A Roellich | Counselor | 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 | 2006-08-02 |
| 1417063009 | Pene Lee Enchante | Chiropractor | 901 Front St, Cashton, WI 54619-2003 | 2006-08-23 |
| 1376879346 | Cashton School District | Local Education Agency (LEA) | 540 Coe St, Cashton, WI 54619-2022 | 2009-10-27 |
| 1124480306 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 540 Coe St, Cashton, WI 54619-2022 | 2016-03-25 |
| 1154783629 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 540 Coe St, Cashton, WI 54619-2022 | 2016-03-24 |
| Find all providers in zip 54619 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154783629 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 540 Coe St, Cashton, WI 54619-2022 | 2016-03-24 |
| 1518107366 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 238 Front St, Cashton, WI 54619-2002 | 2009-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693847 | Scenic Bluffs Health Center, Inc | Clinic/Center | 100 Blackhawk Dr, Viroqua, WI 54665-1315 | 2019-08-02 |
| 1942718762 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 2607 S 5th St, Milwaukee, WI 53207-1418 | 2018-01-15 |
| 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.