ASCENSION EAGLE RIVER HOSPITAL, INC. (NPI# 1346204385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346204385 |
| Entity Type | Organization |
| Organization Name | ASCENSION EAGLE RIVER HOSPITAL, INC. |
| Other Organization Name | ASCENSION EAGLE RIVER HOSPITAL |
| Practice Address |
201 Hospital Rd Eagle River WI 54521-8835 |
| Mailing Address |
Po Box 2119 Woodruff WI 54568-2119 |
| Practice Telephone | 7154797411 |
| Practice Fax Number | 7154790395 |
| Mailing Telephone | 7154797411 |
| Mailing Fax Number | 7154790395 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | JONATHAN W SOHN (CFO) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
1000 | WI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 11018900 | 05 | |
| WI | 11018910 | 05 |
| Other Name | Type Code |
|---|---|
| Ascension Eagle River Hospital | Doing Business As Name - Organization |
| Street Address |
201 HOSPITAL RD |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521-8835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588015465 | Jordan Knopf | Physical Therapist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2016-06-22 |
| 1477938884 | Myrna Mitchell | Occupational Therapist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2015-07-27 |
| 1972944296 | Eagle River Memorial Hospital | Non-Pharmacy Dispensing Site | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2013-07-15 |
| 1154608594 | Kathryn A Carr | Physical Therapy Assistant | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2011-11-14 |
| 1972792471 | Jenny Lee Jerabek | Speech-Language Pathologist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2007-10-20 |
| 1639291776 | Comprehensive Foot & Ankle, Sc | Podiatrist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2007-04-06 |
| 1548300460 | Northern Wisconsin Bone & Joint Center, Ltd | Orthopaedic Surgery | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2007-02-08 |
| 1497836589 | Lori Kramer | Occupational Therapist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-10-17 |
| 1790718542 | Ascension Eagle River Hospital, Inc | General Acute Care Hospital | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-07-07 |
| 1407894660 | Michael Deets | Pharmacist | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| Find all providers in zip 54521 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790718542 | Ascension Eagle River Hospital, Inc | General Acute Care Hospital | 201 Hospital Rd, Eagle River, WI 54521-8835 | 2006-07-07 |
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|---|---|---|---|---|
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1255662573 | Donald Morris Levy | General Acute Care Hospital | 4348 W Tarrytown Ln, Mequon, WI 53092-4850 | 2010-01-26 |
| 1841483112 | Club Staffing | General Acute Care Hospital | 1082 Vinyard Dr, Oregon, WI 53575-3314 | 2007-08-21 |
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| 1184765240 | Tomah Memorial Hospital Inc | General Acute Care Hospital | 501 Gopher Dr, Tomah, WI 54660-4513 | 2007-02-10 |
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| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1881640183 | Westfields Hospital, Inc. | General Acute Care Hospital | 535 Hospital Road, New Richmond, WI 54017-1449 | 2006-05-26 |
| 1053362624 | Ripon Medical Center Inc | General Acute Care Hospital | 845 Parkside Street, Ripon, WI 54971-8505 | 2006-05-16 |
| 1255382933 | Cumberland Memorial Hospital | General Acute Care Hospital | 1110 7th Ave, Cumberland, WI 54829-9133 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
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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.