COMMUNITY CARE OF CENTRAL WISCONSIN (NPI# 1407002546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407002546 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE OF CENTRAL WISCONSIN |
| Practice Address |
3349 Church St Ste 1 Stevens Point WI 54481-5314 |
| Practice Telephone | 7153455968 |
| Practice Fax Number | 7153455725 |
| Mailing Telephone | 7153455968 |
| Mailing Fax Number | 7153455725 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | LUCY ELLEN RUNNELLS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7152041810 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 69005700 | 05 |
| Street Address |
3349 CHURCH ST STE 1 |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952844334 | Inclusa Inc | Health Maintenance Organization | 3349 Church St Ste 1, Stevens Point, WI 54481-5314 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295853059 | Community Care of Portage County | Exclusive Provider Organization | 817 Whiting Ave, Stevens Point, WI 54481-5246 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841697992 | Divinity Birth Services, LLC | Exclusive Provider Organization | 3074 Oak St, Cottage Grove, WI 53527-9511 | 2014-12-03 |
| 1922400563 | Amanda Deremo | Exclusive Provider Organization | 82 Falling Creek Cir, Janesville, WI 53548-9106 | 2014-09-25 |
| 1477964211 | Interim Health Care | Exclusive Provider Organization | 106 E Franklin Ave, Barron, WI 54812-1145 | 2014-05-14 |
| 1508292574 | Midwifery Services, LLC | Exclusive Provider Organization | 619 9th Ave W, Ashland, WI 54806-2808 | 2013-09-22 |
| 1497034078 | Allied Family Eye Care | Exclusive Provider Organization | 1643 Arcadian Ave, Waukesha, WI 53186-5391 | 2011-08-12 |
| 1427216993 | Ministry Health Care | Exclusive Provider Organization | 323 South 18th Ave, 323 South 18th Ave, Sturgeon Bay, WI 54235-1495 | 2008-05-30 |
| 1306029152 | Compassion Care for The Elderly | Exclusive Provider Organization | 4621 N 66th St, Milwaukee, WI 53218-4821 | 2007-12-14 |
| 1366563314 | Lakeland Care Inc | Exclusive Provider Organization | N6654 Rolling Meadows Dr, Fond Du Lac, WI 54937-9471 | 2007-04-03 |
| 1598715369 | Lou Ann Newby | Exclusive Provider Organization | W10020 Olson Rd, Poynette, WI 53955-9441 | 2006-05-11 |
| 1497102230 | Globemed, LLC. | Exclusive Provider Organization | 19435 W Capitol Dr, Suite 103, Brookfield, WI 53045-2737 | 2016-05-23 |
| Find all providers with the same taxonomy | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
Please comment or provide details below to improve the information on COMMUNITY CARE OF CENTRAL WISCONSIN.
| 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.