MILE BLUFF MEDICAL CENTER INC (NPI# 1447397492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447397492 |
| Entity Type | Organization |
| Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Other Organization Name | NECEDAH FAMILY MEDICAL CENTER |
| Practice Address |
1408 Wheelihan Ave Necedah WI 54646-8253 |
| Practice Telephone | 6088476161 |
| Practice Fax Number | 6088476161 |
| Mailing Telephone | 6088476161 |
| Mailing Fax Number | 6088476161 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | MR. JAMES OKEEFE (PRESIDENT) |
| Authorized Official Telephone | 6088476161 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 134 | WI | Suppliers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
134 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43054600 | 05 |
| Other Name | Type Code |
|---|---|
| Necedah Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487734380 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2006-10-16 |
| 1932124898 | Mile Bluff Medical Center Inc | Skilled Nursing Facility | 612 View St, New Lisbon, WI 53950-1079 | 2006-07-13 |
| 1316324395 | Mile Bluff Medical Center Inc | Clinic/Center | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2015-04-29 |
| 1356785240 | Mile Bluff Medical Center Inc | Non-Pharmacy Dispensing Site | 1050 Division St, Mauston, WI 53948-1931 | 2013-04-22 |
| 1548506165 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1104 21st St, Reedsburg, WI 53959-1156 | 2012-12-31 |
| 1093051617 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 402 W Lake St, Friendship, WI 53934-9699 | 2012-12-31 |
| 1275879884 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 321 Butts Ave, Tomah, WI 54660-1412 | 2012-12-31 |
| 1104162841 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2012-12-28 |
| 1881930527 | Mile Bluff Medical Center Inc | Clinic/Center | 1040 Division St, Mauston, WI 53948-1931 | 2012-12-28 |
| 1356589394 | Mile Bluff Medical Center Inc | Non-emergency Medical Transport (VAN) | 1050 Division St, Mauston, WI 53948-1931 | 2009-01-29 |
| Street Address |
1408 WHEELIHAN AVE |
| City | NECEDAH |
| State | WI |
| Zip Code | 54646-8253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366623654 | Mile Bluff Clinic, LLP | Durable Medical Equipment & Medical Supplies | 1408 Wheelihan Ave, Necedah, WI 54646-8253 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386972487 | Necedah Fire and Rescue Inc. | Ambulance | 101 Center Street, Necedah, WI 54646 | 2009-12-01 |
| 1740233477 | Necedah Fire Dept Ambulance Service, Inc. | Ambulance | 100 Center St, Necedah, WI 54646 | 2006-05-17 |
| 1356575906 | Bonnie J Exum | Community Health Worker | 401 S. Main St, Necedah, WI 54646 | 2009-05-12 |
| 1548359482 | John A Glavin | Chiropractor | 209 South Main St., Necedah, WI 54646-0531 | 2006-10-11 |
| 1154343671 | Dennis W Stalsberg | Nurse Anesthetist, Certified Registered | W5327 Southview Dr, Necedah, WI 54646-7046 | 2006-07-24 |
| 1245581289 | Jessica Koluch | Community Health Worker | N11893 12th Ave, Necedah, WI 54646-7528 | 2012-10-01 |
| 1497998363 | Lynn Miller | Registered Nurse | W5570 Bills Ln, Necedah, WI 54646-7613 | 2009-04-08 |
| 1306162706 | Country Grove Home LLC | Assisted Living Facility | N11151 17th Ave, Necedah, WI 54646-7619 | 2010-04-12 |
| 1013101583 | Necedah Area School District | Local Education Agency (LEA) | 1801 S Main St, Necedah, WI 54646-7858 | 2007-08-28 |
| 1518193820 | C.j. Karas, D.d.s. of Necedah.s.c | Clinic/Center | 1412 Wheelihan Ave, Necedah, WI 54646-8253 | 2009-06-02 |
| Find all providers in zip 54646 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| 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.