SAUK PRAIRIE HEALTHCARE INC (NPI# 1609841568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609841568 |
| Entity Type | Organization |
| Organization Name | SAUK PRAIRIE HEALTHCARE INC |
| Other Organization Name | RIVER VALLEY MEDICAL CLINIC |
| Practice Address |
436 Sunrise Dr Spring Green WI 53588-9286 |
| Practice Telephone | 6085882502 |
| Mailing Telephone | 6085882502 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | JAMES DREGNEY (CFO) |
| Authorized Official Telephone | 6086437212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32764200 | 05 | |
| RAILROAD MEDICARE | CD3549 | 01 | |
| WI | 43061900 | 05 |
| Other Name | Type Code |
|---|---|
| RIVER VALLEY MEDICAL CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225003445 | Sauk Prairie Healthcare Inc | Clinic/Center | 160 Valley Dr, Lodi, WI 53555-1464 | 2006-02-21 |
| 1073588299 | Sauk Prairie Healthcare Inc | Family Medicine | 506 Crocker St Ste 3, Mazomanie, WI 53560-9426 | 2006-02-21 |
| 1093220246 | Sauk Prairie Healthcare Inc | Clinic/Center | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2017-12-11 |
| 1336488741 | Sauk Prairie Healthcare Inc | Orthopaedic Surgery | 260 26th St, Prairie Du Sac, WI 53578-2203 | 2013-02-05 |
| 1740425057 | Sauk Prairie Healthcare Inc | Internal Medicine | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2008-12-16 |
| 1396884474 | Sauk Prairie Healthcare Inc | Nurse Anesthetist, Certified Registered | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1205975380 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-06 |
| 1437298684 | Sauk Prairie Healthcare Inc | Medicare Defined Swing Bed Unit | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2007-02-05 |
| 1134194004 | Sauk Prairie Healthcare Inc | Clinic/Center | 825 Main St, Plain, WI 53577-9668 | 2006-02-22 |
| 1861466153 | Sauk Prairie Healthcare Inc | General Acute Care Hospital | 260 26th St, Prairie Du Sac, WI 53578-1599 | 2006-02-14 |
| Street Address |
436 SUNRISE DR |
| City | SPRING GREEN |
| State | WI |
| Zip Code | 53588-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447484258 | Masaru Furukawa | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2009-05-07 |
| 1366634479 | Robert John Wright | Physical Therapist | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2007-08-13 |
| 1225189566 | Lindsay M. N. Rothering | Physical Therapist | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2007-01-15 |
| 1881649333 | Mark G Timmerman | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-05-23 |
| 1720057698 | Luke W Fortney | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-03-14 |
| 1306812045 | Ellen O Wermuth | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-02-23 |
| 1659346559 | Maria A Denu | Physician Assistant | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679873202 | Colleen Dawn Lewis | Acupuncturist | 150 Jefferson Street, Spring Green, WI 53588 | 2010-10-29 |
| 1356586481 | Edward Wolpert Md Sc Ltd | Psychologist | 156 W Jefferson, Spring Green, WI 53588 | 2008-12-03 |
| 1790984599 | Steven George Mccarthy | Physical Therapist | 208 N. Winsted St., Spring Green, WI 53588 | 2007-07-12 |
| 1891994695 | Linda Diane Mccarthy | Physical Therapist | 208 North Winsted St., Spring Green, WI 53588 | 2007-07-12 |
| 1306043054 | Balanced Body Connections, LLC | Physical Therapist | 208 North Winsted Street, Spring Green, WI 53588 | 2007-06-27 |
| 1881811560 | Atc Chiropractic, LLC | Health Maintenance Organization | 150 East Jefferson Street, Spring Green, WI 53588 | 2007-04-20 |
| 1750507885 | Taylor Chiropractic & Sports Injury Center, S.c. | Chiropractor | 153 E Jefferson St, Spring Green, WI 53588 | 2007-04-17 |
| 1295863975 | Anthony Todd Christianson | Chiropractor | 150 E Jefferson Street, Spring Green, WI 53588 | 2007-03-02 |
| 1548313265 | Jeffrey L Vodak | Optometrist | 105 East Jefferson Street, Spring Green, WI 53588 | 2007-01-18 |
| 1104996081 | Spring Medical Associates,llc | Clinic/Center | 156 West Jefferson Street, Spring Green, WI 53588 | 2006-11-08 |
| Find all providers in zip 53588 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778484 | Kennith Miller | Family Medicine | 156 W Jefferson St, Spring Green, WI 53588-8005 | 2006-02-07 |
| 1871594598 | Kay M Balink | Family Medicine | 150 E Jefferson St, Spring Green, WI 53588-8000 | 2005-08-03 |
| 1922407139 | Upland Hills Health, Inc | Family Medicine | 156 W Jefferson St, Spring Green, WI 53588-8005 | 2014-08-14 |
| 1265767966 | Upland Hills Health, Inc. | Family Medicine | 156 W Jefferson St, Spring Green, WI 53588-8005 | 2009-10-14 |
| 1447484258 | Masaru Furukawa | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2009-05-07 |
| 1881649333 | Mark G Timmerman | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-05-23 |
| 1720057698 | Luke W Fortney | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-03-14 |
| 1306812045 | Ellen O Wermuth | Family Medicine | 436 Sunrise Dr, Spring Green, WI 53588-9286 | 2006-02-23 |
| 1710988464 | Cristine L Cornelius | Family Medicine | 150 E Jefferson St, Spring Green, WI 53588-8000 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRING GREEN |
| Zip Code | 53588 |
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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.