PRAIRIE CLINIC SC (NPI# 1407060791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407060791 |
| Entity Type | Organization |
| Organization Name | PRAIRIE CLINIC SC |
| Practice Address |
112 Helen St Sauk City WI 53583 |
| Practice Telephone | 6086433351 |
| Practice Fax Number | 6086433621 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | AMY LINDLOFF (ASSISTANT CLINIC MANAGER) |
| Authorized Official Telephone | 6086433351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DME | 0593600001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235163494 | Prairie Clinic Sc | Internal Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2006-07-11 |
| Street Address |
112 HELEN ST |
| City | SAUK CITY |
| State | WI |
| Zip Code | 53583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457334468 | Angela M Oconnor | Pediatrics | 112 Helen St, Sauk City, WI 53583-1168 | 2005-11-23 |
| 1316553720 | Katherine Packwood | Nurse Practitioner | 112 Helen St, Sauk City, WI 53583-1101 | 2020-09-21 |
| 1821554411 | Maureen Ann Schlager | Registered Nurse | 112 Helen St, Sauk City, WI 53583-1168 | 2019-02-19 |
| 1467976357 | Kym A Pharo | Nurse Practitioner | 112 Helen St, Sauk City, WI 53583-1101 | 2017-08-01 |
| 1124542329 | Kayla Lauren Moses | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2017-07-28 |
| 1780035527 | Lauren Marsicek | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2016-06-23 |
| 1245631514 | David Graf | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-09-05 |
| 1215349196 | Prairie Clinic, Sc | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2014-05-27 |
| 1730528654 | Renee L Schutte | Physician Assistant | 112 Helen St, Sauk City, WI 53583-1101 | 2013-06-25 |
| 1891138004 | Mary Elizabeth Bacsik-campbell | Family Medicine | 112 Helen St, Sauk City, WI 53583-1101 | 2013-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912109794 | Patricia L Lohr | Nurse Practitioner | 9437 Cty Rd Y, Sauk City, WI 53583 | 2007-06-04 |
| 1508947185 | Sauk City Pharmacy Inc | Pharmacy | 830 Water St, Sauk City, WI 53583 | 2006-10-18 |
| 1578519336 | Mindy Shafer Weigel | Recreation Therapist | 560 Pathway Clinic, Prairie Du Sac, WI 53583 | 2006-05-25 |
| 1235187444 | Kilian Chiropractic Sc | Chiropractor | 515 Phillips Blvd, Sauk City, WI 53583 | 2006-05-04 |
| 1821081936 | Maplewood of Sauk Prairie | Pharmacy | 245 Sycamore Steet, Sauk City, WI 53583 | 2005-08-24 |
| 1063418747 | Nursing Homes Inc. | Skilled Nursing Facility | 245 Sycamore St, Sauk City, WI 53583-1013 | 2005-06-27 |
| 1588218317 | Carl Hatfield | Physical Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-07-30 |
| 1073175113 | Sarah Olson | Speech-Language Pathologist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-06-28 |
| 1629531496 | Carl Oliver | Occupational Therapist | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-04-09 |
| 1922565878 | Marisa Burke | Occupational Therapy Assistant | 245 Sycamore St, Sauk City, WI 53583-1013 | 2019-02-27 |
| Find all providers in zip 53583 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275701047 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 333 Phillips Blvd, Sauk City, WI 53583-1526 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983070 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 507 Jefferson St E # 34, West Salem, WI 54669-9560 | 2020-08-18 |
| 1356959506 | A Journey Home Medsupply | Durable Medical Equipment & Medical Supplies | 9575 W Fond Du Lac Ave Apt 19, Milwaukee, WI 53225-1645 | 2020-07-14 |
| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
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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.