NEW RICHMOND FAMILY CARE, LLC


Address: 1500 Madison Ave # 5c, New Richmond, WI 54017-6693
Phone: 7155447446

NEW RICHMOND FAMILY CARE, LLC (NPI# 1316505464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316505464
Entity Type Organization
Organization Name NEW RICHMOND FAMILY CARE, LLC
Practice Address 1500 Madison Ave # 5c
New Richmond
WI 54017-6693
Practice Telephone 7155447446
Practice Fax Number 6514127599
Mailing Telephone 7155447446
Mailing Fax Number 6514127599
Enumeration Date 2019-06-04
Last Update Date 2019-06-06
Authorized Official Name DR. HAZLE COURTNEY BALLINA (OWNER)
Authorized Official Telephone 7155447446
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 1500 MADISON AVE # 5C
City NEW RICHMOND
State WI
Zip Code 54017-6693

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1467582957 New Richmond Dental Dentist 1367 Campus Dr, New Richmond, WI 54017 2007-03-06
1588709513 Holly Wolf Occupational Therapist 908 Brady Lane, New Richmond, WI 54017 2007-02-20
1396891867 Jamie Marie Neumann Physical Therapy Assistant 535 Hospital Rd., New Richmond, WI 54017 2007-01-26
1467519660 New Richmond Chiropractic Clinic Inc Chiropractor 446 S Knowles Ave, New Richmond, WI 54017 2007-01-03
1750457156 Susan Ann Johnson Chiropractor 446 S. Knowles Ave, New Richmond, WI 54017 2006-11-28
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1639728496 Quad/med, LLC Clinic/Center 725 South Street, Mayville, WI 53050 2019-09-05
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1043703838 Interra Health Inc. Clinic/Center 5 Innovation Ct Ste B, Appleton, WI 54914-1739 2018-06-07
1942792254 Quad/med, LLC Clinic/Center 1900 W. Sumner Street, Hartford, WI 53027 2018-06-01
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Competitor

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City NEW RICHMOND
Zip Code 54017

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Dataset Information

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.

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