MILO C. HUEMPFNER CBOC (NPI# 1205269610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205269610 |
| Entity Type | Organization |
| Organization Name | MILO C. HUEMPFNER CBOC |
| Practice Address |
2851 University Ave Green Bay WI 54311-5855 |
| Practice Telephone | 9204312500 |
| Mailing Telephone | 9204312500 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | TIMOTHY J DEACY (MANAGER) |
| Authorized Official Telephone | 9204312500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Street Address |
2851 UNIVERSITY AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-5855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845414 | Michelle Schleis | Optometrist | 2851 University Ave, Green Bay, WI 54311-5855 | 2010-07-03 |
| 1154932739 | Brenna Rainey | Pharmacist | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-08-16 |
| 1891310827 | James Boddy | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-06-16 |
| 1013531656 | Michael Tadayuki Miyamoto | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-05-29 |
| 1184245326 | Kevin Michael Hansen | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-28 |
| 1346869625 | Jessica Rae Enright | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-04-16 |
| 1689201832 | Ifeanyi Jeffrey Mbah | Student in an Organized Health Care Education/Training Program | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-03-26 |
| 1235762527 | Michael James Valerius | Registered Nurse | 2851 University Ave, Green Bay, WI 54311-5855 | 2020-02-15 |
| 1578110490 | Lisa Ann Rienow | Nurse Practitioner | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-26 |
| 1487209623 | Deanna R Nelson | Dietitian, Registered | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003861014 | Milwaukee Vamc | Clinic/Center | 2851 University Avenue, Green Bay, WI 54311-0008 | 2006-05-24 |
| 1114300332 | Amanda Ryan | Clinic/Center | 2851 University Ave, Green Bay, WI 54311-5855 | 2015-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285005504 | Milwaukee Vamc | Clinic/Center | 1818 N Martin Luther King Dr, Milwaukee, WI 53212-3640 | 2015-10-13 |
| 1376988402 | Zablocki Va Medical Center | Clinic/Center | 5922 Bluff Ledge Rd, Sturgeon Bay, WI 54235-8148 | 2013-05-02 |
| 1235320912 | Minneapolis Vamc | Clinic/Center | 10369 State Highway 27, Hayward, WI 54843-9998 | 2007-08-07 |
| 1881634616 | Tomah Vamc | Clinic/Center | 700 Hale St, Wisconsin Rapids, WI 54495-2787 | 2006-06-08 |
| 1275573677 | Tomah Vamc | Clinic/Center | 515 S 32nd Ave, Wausau, WI 54401-4074 | 2006-06-07 |
| 1902853567 | Tomah Vamc | Clinic/Center | 8 Johnson St, Owen, WI 54460-9534 | 2006-05-28 |
| 1104873298 | Tomah Vamc | Clinic/Center | 4000 State Road 16, La Crosse, WI 54601-1809 | 2006-05-27 |
| 1144276064 | James A Lovell Federal Health Care Center | Clinic/Center | 8207 22nd Ave, Kenosha, WI 53143-6211 | 2006-05-25 |
| 1124074810 | Madison Vamc | Clinic/Center | 1141 Black Bridge Rd, Janesville, WI 53545-1092 | 2006-05-25 |
| 1417902941 | Minneapolis Vamc | Clinic/Center | 475 Chippewa Mall Drive, Suite 418, Chippewa Falls, WI 54729-5047 | 2006-05-23 |
| 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.