LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE (NPI# 1154415024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154415024 |
Entity Type | Organization |
Organization Name | LAKEVIEW MEDICAL CENTER, INC. OF RICE LAKE |
Other Organization Name | MARSHFIELD MEDICAL CENTER - RICE LAKE |
Practice Address |
1700 W Stout St Rice Lake WI 54868-5000 |
Practice Telephone | 7152341515 |
Practice Fax Number | 7152344465 |
Mailing Telephone | 7152341515 |
Mailing Fax Number | 7152344465 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2019-09-05 |
Authorized Official Name | GORDON EDWARDS (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3127327093 |
Is Organization Subpart | Y |
Parent Organization Name | MARSHFIELD CLINIC HEALTH SYSTEM INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | Hospitals | ||
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
1562-800 | WI | Hospitals |
Other Name | Type Code |
---|---|
Marshfield Medical Center - Rice Lake | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790320687 | Lakeview Medical Center, Inc. of Rice Lake | Clinic/Center | 1700 W Stout St, Rice Lake, WI 54868-5000 | 2019-11-14 |
1215194907 | Lakeview Medical Center, Inc. of Rice Lake | Speech-Language Pathologist | 1100 N Main St, Rice Lake, WI 54868-1238 | 2008-05-20 |
1689762106 | Lakeview Medical Center, Inc. of Rice Lake | Hospice Care, Community Based | 2304 S Main St, Rice Lake, WI 54868-2900 | 2006-10-10 |
1326139049 | Lakeview Medical Center, Inc. of Rice Lake | Home Health | 2304 S Main St, Rice Lake, WI 54868-2900 | 2006-09-27 |
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 |
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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 | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
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1740545730 | Divine Savior Healthcare | General Acute Care Hospital | W6412 Military Rd, Dalton, WI 53926-9330 | 2012-07-06 |
1689825630 | Jeanne Louise Sammartino | General Acute Care Hospital | 4231 Griffith Ave, Wisconsin Rapids, WI 54494-2706 | 2008-10-08 |
1942651401 | Thedacare | General Acute Care Hospital | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-06-27 |
1477901833 | Thedacare Medical Center Berlin | General Acute Care Hospital | 225 Memorial Dr, Berlin, WI 54923-1243 | 2016-05-26 |
1801270061 | Cumberland Healthcare | General Acute Care Hospital | 1100 7th Ave, Cumberland, WI 54829-9138 | 2015-07-16 |
1790173573 | James Bacon | General Acute Care Hospital | 507 S Main St, Viroqua, WI 54665-2059 | 2015-01-02 |
1700189602 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9240 | 2010-12-15 |
1346543246 | Divine Savior Healthcare | General Acute Care Hospital | 2817 New Pinery Rd, Suite 103, Portage, WI 53901-9240 | 2010-12-15 |
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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.