NCS HEALTHCARE OF WISCONSIN, LLC (NPI# 1174635254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174635254 |
| Entity Type | Organization |
| Organization Name | NCS HEALTHCARE OF WISCONSIN, LLC |
| Other Organization Name | NCS HEALTHCARE OF EAU CLAIRE |
| Practice Address |
1405 Truax Blvd Eau Claire WI 54703-1474 |
| Mailing Address |
100 E Rivercenter Blvd Ste 1600 Covington KY 41011-1540 |
| Practice Telephone | 7155521890 |
| Practice Fax Number | 7155521898 |
| Mailing Telephone | 8593923300 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MR. REGIS ROBBINS (SECRETARY) |
| Authorized Official Telephone | 8593923300 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
8105-042 | WI | Suppliers |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
8105-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 5126657 | 01 | |
| WI | 33229400 | 05 |
| Other Name | Type Code |
|---|---|
| NCS Healthcare of Eau Claire | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043312044 | Ncs Healthcare of Wisconsin, LLC | Pharmacy | 3235 Airport Rd, La Crosse, WI 54603-1256 | 2006-09-01 |
| 1871605931 | Ncs Healthcare of Wisconsin, LLC | Pharmacy | N926 Tower View Dr, Greenville, WI 54942-8102 | 2006-08-31 |
| Street Address |
1405 TRUAX BLVD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215936430 | Covenant Healthcare, LLC | Skilled Nursing Facility | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2005-07-19 |
| 1598287351 | Bonnie Pettis | Recreational Therapist Assistant | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2017-07-13 |
| 1174045108 | Cody Jay Stewart | Physical Therapy Assistant | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2017-07-12 |
| 1417305640 | Dove Healthcare | Skilled Nursing Facility | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2016-05-27 |
| 1730553553 | Pine View Terrace, LLC Dba Dove Healthcare Transport | Non-emergency Medical Transport (VAN) | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2015-11-17 |
| 1871965848 | Mary Short | Physical Therapy Assistant | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2015-10-29 |
| 1295133643 | Mackenzie Hardin | Physical Therapy Assistant | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2014-12-17 |
| 1912304148 | Kyle Vande Hei | Skilled Nursing Facility | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2014-12-03 |
| 1801293063 | Dove Healthcare | Skilled Nursing Facility | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2014-12-03 |
| 1508289018 | Dove Healthcare | Rehabilitation Hospital | 1405 Truax Blvd, Eau Claire, WI 54703-1474 | 2014-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356351944 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1316 N Hastings Way, Suite B, Eau Claire, WI 54703-1826 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013410539 | Medequipment & Supplies | Durable Medical Equipment & Medical Supplies | 2713 Humboldt Rd Apt 6, Green Bay, WI 54311-8457 | 2018-03-11 |
| 1770916892 | Phoenix Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 512 Oakland Ave, Waukesha, WI 53186-5573 | 2013-08-13 |
| 1477633857 | Roeschen's Healthcare LLC | Durable Medical Equipment & Medical Supplies | 4505 S Taylor Dr, Sheboygan, WI 53081-8978 | 2006-10-17 |
| 1568568913 | Badger Acquisition of Wisconsin, LLC | Durable Medical Equipment & Medical Supplies | 8949 N 97th St, Milwaukee, WI 53224-1695 | 2006-09-15 |
| 1891803672 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | W6853 Industrial Blvd, Onalaska, WI 54650-9215 | 2006-08-29 |
| 1003923871 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 2412 Industrial Dr # A, Neenah, WI 54956-4870 | 2006-08-25 |
| 1437265022 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1207 W Veterans Pkwy, Ste 3, Marshfield, WI 54449-1757 | 2006-08-23 |
| 1215965611 | Degen-berglund, Inc | Durable Medical Equipment & Medical Supplies | 2441 Green Bay St, La Crosse, WI 54601 | 2006-06-28 |
| 1346216447 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | 1011 1st Ave, Suite B, Woodruff, WI 54568 | 2006-02-28 |
| 1891761995 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | 204 E Upham St, Suite B, Marshfield, WI 54449-1543 | 2006-02-28 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
Please comment or provide details below to improve the information on NCS HEALTHCARE OF WISCONSIN, LLC.
| 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.