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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
1500 MADISON AVE # 5C |
City | NEW RICHMOND |
State | WI |
Zip Code | 54017-6693 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
1215239736 | Family Therapy Associates, LLC | Clinic/Center | 150 W. First St., Suite 270, New Richmond, WI 54017 | 2010-12-04 |
1255452215 | Joseph Scott Gustafson Sr. | Acupuncturist | 1475 Hwy 65, Pain Management Acupuncture of St Croix, New Richmond, WI 54017 | 2007-04-03 |
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 |
Find all providers in zip 54017 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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 |
1033625983 | Premiere Medical LLC | Clinic/Center | 6877 N Seville Ave, Milwaukee, WI 53209-2645 | 2017-12-14 |
Find all providers with the same taxonomy |
City | NEW RICHMOND |
Zip Code | 54017 |
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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.