MILE BLUFF MEDICAL CENTER (NPI# 1427413483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427413483 |
| Entity Type | Organization |
| Organization Name | MILE BLUFF MEDICAL CENTER |
| Practice Address |
901 W Bridge St New Lisbon WI 53950-1083 |
| Practice Telephone | 6085623111 |
| Mailing Telephone | 6085623111 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | DR. TIMOTHY BJELLAND (VP, CMO) |
| Authorized Official Telephone | 6088479826 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
6726-33 | WI | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MILE BLUFF MEDICAL CENTER | 1050 Division St, Mauston, WI 53948-1931 |
| Street Address |
901 W BRIDGE ST |
| City | NEW LISBON |
| State | WI |
| Zip Code | 53950-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780674929 | Gloria J. Nachreiner | Physician Assistant | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-10-27 |
| 1104162841 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2012-12-28 |
| 1700867082 | Anne B. Fenwick | Physician Assistant | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-11-14 |
| 1437149598 | Timothy R. Hinton | Family Medicine | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
| 1093937807 | Regine Marie-pierre Radavich | Registered Nurse | W6496 37th Street, New Lisbon, WI 53950 | 2007-05-02 |
| 1205990538 | Charles M Rubash | Dentist | 600 S Monroe, New Lisbon, WI 53950 | 2006-12-21 |
| 1932124898 | Mile Bluff Medical Center Inc | Skilled Nursing Facility | 612 View St, New Lisbon, WI 53950-1079 | 2006-07-13 |
| 1174717656 | New Lisbon School District | Local Education Agency (LEA) | 500 S Forest St, New Lisbon, WI 53950-1119 | 2007-08-28 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| 1487265906 | Abigail Geis | Psychologist | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-08-10 |
| 1326123498 | Raabe's Pharmacy S.c. | Pharmacy | 112 S Adams St, New Lisbon, WI 53950-1206 | 2006-10-26 |
| 1861999856 | Mbmc Raabe Pharmacy, LLC | Pharmacy | 112 S Adams St, New Lisbon, WI 53950-1206 | 2018-04-07 |
| 1053664086 | Thomas A Raabe | Pharmacist | 112 S Adams St, New Lisbon, WI 53950-1206 | 2012-10-15 |
| Find all providers in zip 53950 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | NEW LISBON |
| Zip Code | 53950 |
Please comment or provide details below to improve the information on MILE BLUFF MEDICAL CENTER.
| 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.