COMMUNITY CLINIC OF DOOR COUNTY, INC. (NPI# 1114053048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114053048 |
Entity Type | Organization |
Organization Name | COMMUNITY CLINIC OF DOOR COUNTY, INC. |
Practice Address |
1623 Rhode Island St Sturgeon Bay WI 54235-1424 |
Mailing Address |
1623 Rhode Island St P.o. Box 3 Sturgeon Bay WI 54235-1424 |
Practice Telephone | 9207468989 |
Practice Fax Number | 9207468960 |
Mailing Telephone | 9207468989 |
Mailing Fax Number | 9207468960 |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. PETER SIGMANN (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9207468989 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 261Q00000X | WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 42012500 | 05 |
Street Address |
1623 RHODE ISLAND ST |
City | STURGEON BAY |
State | WI |
Zip Code | 54235-1424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598108284 | Community Clinic of Door County, Inc | Clinic/Center | 1623 Rhode Island St, Sturgeon Bay, WI 54235-1424 | 2013-04-11 |
1912186750 | Peter Sigmann | Internal Medicine | 1623 Rhode Island St, Sturgeon Bay, WI 54235-1424 | 2007-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
Find all providers in zip 54235 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295393452 | Door County Memorial Hospital | Clinic/Center | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2019-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
Find all providers with the same taxonomy |
City | STURGEON BAY |
Zip Code | 54235 |
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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.