BURNETT MEDICAL CENTER INC (NPI# 1487703815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487703815 |
| Entity Type | Organization |
| Organization Name | BURNETT MEDICAL CENTER INC |
| Practice Address |
257 W Saint George Ave Grantsburg WI 54840-7827 |
| Practice Telephone | 7154635353 |
| Practice Fax Number | 7154632423 |
| Mailing Telephone | 7154635353 |
| Mailing Fax Number | 7154632423 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-01-04 |
| Authorized Official Name | MR. CHARLES J. FAUGHT (CFO) |
| Authorized Official Telephone | 7154637281 |
| Is Organization Subpart | Y |
| Parent Organization Name | BURNETT MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952731663 | Burnett Medical Center Inc | Non-Pharmacy Dispensing Site | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2013-11-15 |
| 1356499784 | Burnett Medical Center Inc | Physician Assistant | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2007-01-08 |
| 1841349271 | Burnett Medical Center Inc | Pharmacy | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2007-01-08 |
| 1003965435 | Burnett Medical Center Inc | Medicare Defined Swing Bed Unit | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2007-01-08 |
| 1225191687 | Burnett Medical Center Inc | General Acute Care Hospital | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2006-12-18 |
| Street Address |
257 W SAINT GEORGE AVE |
| City | GRANTSBURG |
| State | WI |
| Zip Code | 54840-7827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871576009 | Timothy P Vaughn | Nurse Anesthetist, Certified Registered | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2005-11-22 |
| 1225635055 | Mary Frances Flaherty Baig | Nurse Practitioner | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2020-10-05 |
| 1649811035 | Nicholas John Stevens | Physical Therapy Assistant | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2019-10-07 |
| 1588155899 | Abigail R Anderson | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2018-05-22 |
| 1124578810 | Neelam S. Patel | Nurse Practitioner | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2016-10-06 |
| 1700331501 | Rhiannon Legarde | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2016-08-22 |
| 1336590066 | Brittany Stevens Pennings | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2016-06-23 |
| 1598130908 | Janelle R. Gomez | Dietitian, Registered | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2015-12-10 |
| 1952702417 | Marie Sarra | Physical Therapist | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2014-09-15 |
| 1619393279 | Sarah Motl | Dietitian, Registered | 257 W Saint George Ave, Grantsburg, WI 54840-7827 | 2014-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679886618 | Maria Javaid | Internal Medicine | Shalamar Link Road, Lahore, Pakistan, Shalamar Institute of Health Sciences, Lahore, PUNJAB 54840 | 2010-07-20 |
| 1508949082 | Gary L Kaefer Dds Sc | Dentist | 302 South Pine St, Grantsburg, WI 54840 | 2006-10-20 |
| 1275544967 | Christopher John Witzany | Pharmacist | 122 W. Madison Ave., Grantsburg, WI 54840 | 2006-08-10 |
| 1821425927 | Nancy Yvette Longhenry | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2013-10-03 |
| 1639174980 | Bellicose International Inc. | Durable Medical Equipment & Medical Supplies | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2005-06-14 |
| 1528625985 | Bellicose International Inc. | Pharmacy | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2019-05-21 |
| 1407365166 | Taylor James Paap | Pharmacist | 122 W Madison Ave, Grantsburg, WI 54840-7022 | 2017-09-26 |
| 1063877421 | Richelle Christianson | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2015-12-29 |
| 1952788945 | Lean On Me Home Care | In Home Supportive Care | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2015-04-29 |
| 1760896732 | Barbara Everson | Registered Nurse | 134 W Madison Ave, Grantsburg, WI 54840-7022 | 2014-06-17 |
| Find all providers in zip 54840 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "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. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | GRANTSBURG |
| Zip Code | 54840 |
Please comment or provide details below to improve the information on BURNETT MEDICAL CENTER INC.
| 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.