MILE BLUFF MEDICAL CENTER INC (NPI# 1275879884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275879884 |
| Entity Type | Organization |
| Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Other Organization Name | MILE BLUFF CLINIC |
| Practice Address |
321 Butts Ave Tomah WI 54660-1412 |
| Mailing Address |
1040 Division St Mauston WI 53948-1931 |
| Practice Telephone | 6083722181 |
| Practice Fax Number | 6083740355 |
| Mailing Telephone | 6088476161 |
| Mailing Fax Number | 6088472079 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2013-01-10 |
| Authorized Official Name | JAMES M OKEEFE (PRESIDENT) |
| Authorized Official Telephone | 6088476161 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 134 | WI | Suppliers |
| Other Name | Type Code |
|---|---|
| MILE BLUFF CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447397492 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1408 Wheelihan Ave, Necedah, WI 54646-8253 | 2007-01-31 |
| 1487734380 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2006-10-16 |
| 1932124898 | Mile Bluff Medical Center Inc | Skilled Nursing Facility | 612 View St, New Lisbon, WI 53950-1079 | 2006-07-13 |
| 1316324395 | Mile Bluff Medical Center Inc | Clinic/Center | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2015-04-29 |
| 1356785240 | Mile Bluff Medical Center Inc | Non-Pharmacy Dispensing Site | 1050 Division St, Mauston, WI 53948-1931 | 2013-04-22 |
| 1548506165 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1104 21st St, Reedsburg, WI 53959-1156 | 2012-12-31 |
| 1093051617 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 402 W Lake St, Friendship, WI 53934-9699 | 2012-12-31 |
| 1104162841 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2012-12-28 |
| 1881930527 | Mile Bluff Medical Center Inc | Clinic/Center | 1040 Division St, Mauston, WI 53948-1931 | 2012-12-28 |
| 1356589394 | Mile Bluff Medical Center Inc | Non-emergency Medical Transport (VAN) | 1050 Division St, Mauston, WI 53948-1931 | 2009-01-29 |
| Street Address |
321 BUTTS AVE |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469864 | Richard William Banks | Orthopaedic Surgery | 321 Butts Ave, Tomah, WI 54660-1412 | 2005-06-30 |
| 1437702669 | Madeline Kennedy | Speech-Language Pathologist | 321 Butts Ave, Tomah, WI 54660-1412 | 2019-07-17 |
| 1376105353 | Dakota E Viken | Occupational Therapist | 321 Butts Ave, Tomah, WI 54660-1412 | 2019-07-01 |
| 1134604168 | Brittany Lowen | Occupational Therapist | 321 Butts Ave, Tomah, WI 54660-1412 | 2018-09-25 |
| 1356829816 | Sofia Linsenmeyer | Speech-Language Pathologist | 321 Butts Ave, Tomah, WI 54660-1412 | 2018-08-06 |
| 1932687159 | Michelle Losby | Physical Therapist | 321 Butts Ave, Tomah, WI 54660-1412 | 2018-07-31 |
| 1972081354 | Erica Willadsen | Physical Therapist | 321 Butts Ave, Tomah, WI 54660-1412 | 2018-07-30 |
| 1225536394 | Charise R Liebhart | Occupational Therapist | 321 Butts Ave, Tomah, WI 54660-1412 | 2018-01-24 |
| 1619484532 | Kimberly Hatch | Emergency Medicine | 321 Butts Ave, Tomah, WI 54660-1412 | 2017-12-30 |
| 1043741507 | Adam J Haggerty | Emergency Medicine | 321 Butts Ave, Tomah, WI 54660-1412 | 2017-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1184641227 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 222 W Mccoy Blvd, Tomah, WI 54660-3291 | 2006-07-16 |
| 1497708044 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 505 Gopher Dr, Tomah, WI 54660-4513 | 2006-05-17 |
| 1518147222 | Mile Bluff Clinic, LLP | Durable Medical Equipment & Medical Supplies | 321 Butts Ave, Tomah, WI 54660-1412 | 2007-11-09 |
| 1861442576 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 325 Butts Ave, Tomah, WI 54660-1412 | 2006-05-11 |
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|---|---|---|---|---|
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| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| 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.