ACTIVATE HEALTHCARE (NPI# 1609433705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609433705 |
| Entity Type | Organization |
| Organization Name | ACTIVATE HEALTHCARE |
| Practice Address |
660 Vandeberg St Baldwin WI 54002-3251 |
| Mailing Address |
2010 N Damen Ave Unit F Chicago IL 60647-3286 |
| Practice Telephone | 7156687411 |
| Practice Fax Number | 7156887421 |
| Mailing Telephone | 7736973144 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Authorized Official Name | DEBRA GEIHSLER (PRINCIPAL) |
| Authorized Official Telephone | 7736973144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AHC - NOLATO CONTOUR CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437381 | Activate Healthcare | Clinic/Center | 1301 W Sunset Rd, Henderson, NV 89014-6607 | 2020-11-04 |
| 1205437480 | Activate Healthcare | Clinic/Center | 11011 W Charleston Blvd, Las Vegas, NV 89135-1402 | 2020-11-04 |
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1891395596 | Activate Healthcare | Clinic/Center | 4624 Progress Dr Ste A, Davenport, IA 52807-3490 | 2020-10-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ACTIVATE HEALTHCARE LLC | 9302 No. Meridian St. Ste. 385, Indianapolis, IN 46260 |
| Street Address |
660 VANDEBERG ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122097 | Whole You Acupuncture and Health Consulting LLC | Clinic/Center | 3330 University Ave Ste 205, Madison, WI 53705-2167 | 2020-10-21 |
| 1588275036 | Abifka Healthcare Inc. | Clinic/Center | 8725 S Wood Creek Dr, Oak Creek, WI 53154-7502 | 2020-08-10 |
| 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 |
| 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 |
| 1033625983 | Premiere Medical LLC | Clinic/Center | 6877 N Seville Ave, Milwaukee, WI 53209-2645 | 2017-12-14 |
| 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.