WATERTOWN REGIONAL MEDICAL CENTER, INC


Address: 700 Hoffman Dr, Watertown, WI 53094-6204
Phone: 9202613050

WATERTOWN REGIONAL MEDICAL CENTER, INC (NPI# 1407035033) 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) 1407035033
Entity Type Organization
Organization Name WATERTOWN REGIONAL MEDICAL CENTER, INC
Other Organization Name WRMC BETHESDA CLINIC
Practice Address 700 Hoffman Dr
Watertown
WI 53094-6204
Mailing Address Po Box 110
Watertown
WI 53094-0110
Practice Telephone 9202613050
Mailing Telephone 9202624640
Enumeration Date 2007-10-31
Last Update Date 2010-09-11
Authorized Official Name MR. ROBERT JAMES KLUGE (PATIENT FINANCIAL SERVICES MANAGER)
Authorized Official Telephone 9202624784
Is Organization Subpart Y
Parent Organization Name WATERTOWN REGIONAL MEDICAL CENTER, INC

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WI 21270200 05

Other Provider/Organization Names

Other Name Type Code
WRMC BETHESDA CLINIC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972505154 Watertown Regional Medical Center, Inc Home Health 125 Hospital Dr, Watertown, WI 53098-3303 2005-06-01
1205223518 Watertown Regional Medical Center, Inc Physical Medicine & Rehabilitation 621 W Racine St, Jefferson, WI 53549-1048 2015-04-24
1659796878 Watertown Regional Medical Center, Inc Family Medicine 125 Hospital Dr, Watertown, WI 53098-3303 2014-02-25
1770914384 Watertown Regional Medical Center, Inc Family Medicine W359n5002 Brown St, Ste 208, Oconomowoc, WI 53066-3366 2013-12-06
1750727723 Watertown Regional Medical Center, Inc Family Medicine W359n5002 Brown St, 208, Oconomowoc, WI 53066-3366 2013-05-17
1194072660 Watertown Regional Medical Center, Inc Otolaryngology 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3320 2012-08-14
1629346028 Watertown Regional Medical Center, Inc Plastic Surgery W359n5002 Brown St, Suite 208, Oconomowoc, WI 53066-3366 2011-12-13
1356627699 Watertown Regional Medical Center, Inc Family Medicine 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3331 2011-11-01
1043593916 Watertown Regional Medical Center, Inc Plastic Surgery 123 Hospital Dr, Ste 2003, Watertown, WI 53098-3331 2011-09-27
1013296391 Watertown Regional Medical Center, Inc Physician Assistant 123 Hospital Dr, Ste 2004, Watertown, WI 53098-3336 2011-08-04

Office Location

Street Address 700 HOFFMAN DR
City WATERTOWN
State WI
Zip Code 53094-6204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1558566497 Georgia E Meyer Occupational Therapist Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 2007-06-20
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1598851800 David J Groh Dentist 1521 Doctors Ct, Watertown, WI 53094 2006-10-05
1861594251 Robert Delano Heinen General Practice 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 2006-09-05
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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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1437629128 Root Function Wellness Pllc Clinic/Center 2320 9th Ave Se, Watertown, SD 57201-7112 2018-11-26
1457456691 Catalyst Medical Clinic Pa Clinic/Center 204 Lewis Ave S Ste 201, Watertown, MN 55388-4502 2006-09-13

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1306483508 Achieve Wellness Clinic Clinic/Center 1417 Winchester Way, Suite 6, Altoona, WI 54720-5472 2019-12-06
1386295061 Careatc Clinic/Center 1400 E Wisconsin St, Delavan, WI 53115-1470 2019-09-24
1295386977 Careatc Clinic/Center 4600 W Loomis Rd Ste 200, Greenfield, WI 53220-4858 2019-09-24
1639728496 Quad/med, LLC Clinic/Center 725 South Street, Mayville, WI 53050 2019-09-05
1316505464 New Richmond Family Care, LLC Clinic/Center 1500 Madison Ave # 5c, New Richmond, WI 54017-6693 2019-06-04
1609433705 Activate Healthcare Clinic/Center 660 Vandeberg St, Baldwin, WI 54002-3251 2019-05-23
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 WATERTOWN
Zip Code 53094

Improve Information

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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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