EDGERTON HOSPITAL AND HEALTH SERVICES (NPI# 1396806659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396806659 |
| Entity Type | Organization |
| Organization Name | EDGERTON HOSPITAL AND HEALTH SERVICES |
| Practice Address |
11101 N Sherman Rd Edgerton WI 53534-9002 |
| Practice Telephone | 6088843441 |
| Practice Fax Number | 6088841669 |
| Mailing Telephone | 6088843441 |
| Mailing Fax Number | 6088841669 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-09-08 |
| Authorized Official Name | MR. CHARLES H ROEDER (CEO) |
| Authorized Official Telephone | 6088841656 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGERTON HOSPITAL AND HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 1022 | WI | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1366884074 | Edgerton Hospital and Health Services | Surgery | 11051 N Sherman Rd, Edgerton, WI 53534-9002 | 2013-07-23 |
| 1891098976 | Edgerton Hospital and Health Services | Non-Pharmacy Dispensing Site | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2010-12-13 |
| 1326192261 | Edgerton Hospital and Health Services | General Acute Care Hospital | 831 Arthur Dr, Milton, WI 53563-3728 | 2007-01-22 |
| Street Address |
11101 N SHERMAN RD |
| City | EDGERTON |
| State | WI |
| Zip Code | 53534-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154350049 | Edgerton Hospital and Health Services | General Acute Care Hospital | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2006-07-02 |
| 1073143194 | Jenna Morse | Occupational Therapist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2020-01-16 |
| 1245776384 | Wil Hospitalists LLC | Internal Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2017-01-12 |
| 1972048429 | Bhanu P Sankineni LLC | Internal Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2016-12-19 |
| 1619345998 | Edgerton Hospital & Health Services | General Practice | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2015-09-03 |
| 1891098976 | Edgerton Hospital and Health Services | Non-Pharmacy Dispensing Site | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2010-12-13 |
| 1821264003 | Roger William Schmitz | Speech-Language Pathologist | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2008-05-07 |
| 1871796946 | Ann Terese Rudel | Occupational Therapy Assistant | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-06-07 |
| 1649473802 | Tanya R Getchell | Emergency Medical Technician, Intermediate | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-06-06 |
| 1487868964 | Joshua A Mou | Emergency Medicine | 11101 N Sherman Rd, Edgerton, WI 53534-9002 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
| 1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
| 1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
| 1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
| 1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
| 1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
| 1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
| 1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
| 1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
| 1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
| Find all providers in zip 53534 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407096266 | Ascension Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 601 S. Center Ave, Merrill, WI 54452-3404 | 2009-03-05 |
| 1306051990 | St. Joseph's Health Services, Inc. | Medicare Defined Swing Bed Unit | 400 Water Ave., Hillsboro, WI 54634 | 2007-05-14 |
| 1194348896 | Thedacare Regional Medical Center-neenah, Inc. | Medicare Defined Swing Bed Unit | 130 2nd St, Neenah, WI 54956-2883 | 2020-05-28 |
| 1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
| 1346716263 | Mchs Hospitals, Inc. | Medicare Defined Swing Bed Unit | 900 College Ave W, Ladysmith, WI 54848-2116 | 2018-10-18 |
| 1689151599 | Oconto Hospital & Medical Center Inc | Medicare Defined Swing Bed Unit | 820 Arbutus Ave, Oconto, WI 54153-2004 | 2018-07-24 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| 1326349135 | St Clare Memorial Hospital, Inc | Medicare Defined Swing Bed Unit | 855 S Main St, Oconto Falls, WI 54154-1241 | 2010-11-10 |
| 1720252893 | Aurora Medical Center of Manitowoc County, Inc. | Medicare Defined Swing Bed Unit | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2008-04-18 |
| 1265618979 | Thedacare Medical Center - Shawano, Inc. | Medicare Defined Swing Bed Unit | 100 County Road B, Shawano, WI 54166-7072 | 2008-01-11 |
| 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.