SAUK PRAIRIE HEALTHCARE INC (NPI# 1134194004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134194004 |
| Entity Type | Organization |
| Organization Name | SAUK PRAIRIE HEALTHCARE INC |
| Other Organization Name | PLAIN MEDICAL CLINIC |
| Practice Address |
825 Main St Plain WI 53577-9668 |
| Practice Telephone | 6085464211 |
| Mailing Telephone | 6085464211 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | JAMES DREGNEY (CFO) |
| Authorized Official Telephone | 6086437212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43062000 | 05 | |
| RAILROAD MEDICARE | CD3549 | 01 | |
| WI | 32764200 | 05 |
| Other Name | Type Code |
|---|---|
| PLAIN MEDICAL CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609841568 | Sauk Prairie Healthcare Inc | Clinic/Center | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-02-22 |
| 1225003445 | Sauk Prairie Healthcare Inc | Clinic/Center | 160 Valley Dr, Lodi, WI 53555-1464 | 2006-02-21 |
| 1073588299 | Sauk Prairie Healthcare Inc | Family Medicine | 506 Crocker St Ste 3, Mazomanie, WI 53560-9426 | 2006-02-21 |
| 1093220246 | Sauk Prairie Healthcare Inc | Clinic/Center | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-12-11 |
| 1336488741 | Sauk Prairie Healthcare Inc | Orthopaedic Surgery | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2013-02-05 |
| 1740425057 | Sauk Prairie Healthcare Inc | Internal Medicine | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2008-12-16 |
| 1396884474 | Sauk Prairie Healthcare Inc | Nurse Anesthetist, Certified Registered | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1205975380 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1437298684 | Sauk Prairie Healthcare Inc | Medicare Defined Swing Bed Unit | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-05 |
| 1861466153 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2006-02-14 |
| Street Address |
825 MAIN ST |
| City | PLAIN |
| State | WI |
| Zip Code | 53577-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548566391 | Agnes M Kanikula | Physician Assistant | 825 Main St, Plain, WI 53577-9668 | 2011-01-26 |
| 1245206986 | Virginia L Wiggins | Physician Assistant | 825 Main St, Plain, WI 53577-9668 | 2006-02-23 |
| 1710953583 | Jeffrey M Collins | Family Medicine | 825 Main St, Plain, WI 53577-9668 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073926671 | Nicole Ring | Licensed Practical Nurse | 1675 Honey Creek Circle, Plain, WI 53577 | 2014-06-11 |
| 1750609665 | Jeanne Patrice Clark | Registered Nurse | S 9466 Valley View Rd, Plain, WI 53577 | 2010-05-17 |
| 1568585735 | Plain Fire Emergency Protection District | Emergency Medical Technician, Basic | 1045 Cedar St., Plain, WI 53577 | 2007-04-10 |
| 1245340777 | Roger A Bussan | Dentist | 1260 Plainview Rd Box 53, Plain, WI 53577 | 2006-08-30 |
| 1992297550 | Brianne Louise Schwarz | Dentist | 1260 Plainview Rd, Plain, WI 53577 | 2018-05-30 |
| 1033188412 | Jennifer Ann Wagner | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2006-03-16 |
| 1043797913 | Kristen Roelke | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2018-07-24 |
| 1962855742 | Charity Leister | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2016-07-18 |
| 1770832560 | Marie R Johnson | Registered Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2012-09-07 |
| 1124387477 | Anne Marie Russell | Licensed Practical Nurse | 1550 Wildwood Dr, Plain, WI 53577-9644 | 2012-05-07 |
| Find all providers in zip 53577 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710953583 | Jeffrey M Collins | Family Medicine | 825 Main St, Plain, WI 53577-9668 | 2006-02-23 |
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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.