FAMILY HEALTH CENTER OF MARSHFIELD, INC. (NPI# 1629412804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629412804 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTH CENTER OF MARSHFIELD, INC. |
| Other Organization Name | FAMILY HEALTH CENTER/MARSHFIELD CLINIC-EAGLE RIVER CENTER |
| Practice Address |
500 Commerce Loop Eagle River WI 54521-8038 |
| Mailing Address |
1000 N Oak Ave P.o. Box 7900 Marshfield WI 54449-5703 |
| Practice Telephone | 7154790400 |
| Mailing Telephone | 7153894574 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2016-06-15 |
| Authorized Official Name | GREGORY R. NYCZ (DIRECTOR OF FAMILY HEALTH CENTER) |
| Authorized Official Telephone | 7153879137 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY HEALTH CENTER OF MARSHFIELD, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Health Center/Marshfield Clinic-Eagle River Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087211 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 729 Pine St, Athens, WI 54411-9305 | 2013-04-10 |
| 1437264140 | Family Health Center of Marshfield, Inc. | Counselor | 1307 N Saint Joseph Ave, Marshfield, WI 54449-1340 | 2006-08-20 |
| 1437550324 | Family Health Center of Marshfield, Inc. | Clinic/Center | 3501 Golf Rd, Eau Claire, WI 54701-8028 | 2014-09-10 |
| 1275933673 | Family Health Center of Marshfield, Inc. | Clinic/Center | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2014-09-04 |
| 1497155808 | Family Health Center of Marshfield, Inc. | Clinic/Center | 3603 Schneider Ave Se, Menomonie, WI 54751-5674 | 2014-09-04 |
| 1083014401 | Family Health Center of Marshfield, Inc. | Clinic/Center | 1000 Starr Ave, Eau Claire, WI 54703-1821 | 2014-09-04 |
| 1336553569 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2014-06-16 |
| 1629496930 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 850 Lakeland Dr, Chippewa Falls, WI 54729-1687 | 2014-04-03 |
| 1841634888 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 104 Trinity Dr, Phillips, WI 54555-1524 | 2013-04-22 |
| 1023452943 | Family Health Center of Marshfield, Inc. | Durable Medical Equipment & Medical Supplies | 12961 27th Ave, Chippewa Falls, WI 54729-5699 | 2013-04-22 |
| Street Address |
500 COMMERCE LOOP |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790861318 | Marshfield Clinic, Inc. | Durable Medical Equipment & Medical Supplies | 500 Commerce Loop, Eagle River, WI 54521-8835 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| Find all providers in zip 54521 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1942718762 | Sixteenth Street Community Health Centers, Inc. | Clinic/Center | 2607 S 5th St, Milwaukee, WI 53207-1418 | 2018-01-15 |
| 1659884716 | The Lakes Community Health Center, Inc | Clinic/Center | 15954 Rivers Edge Dr Ste 304, Hayward, WI 54843-7800 | 2017-11-13 |
| 1275056632 | Outreach Community Health Centers, Inc. | Clinic/Center | 9120 W Hampton Ave Ste 119, Milwaukee, WI 53225-4960 | 2017-07-18 |
| 1437695038 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 200 West North Street, Norwalk, WI 54648 | 2017-01-06 |
| 1841742673 | The Lakes Community Health Center, Inc | Clinic/Center | 300 Main Street West, Ashland, WI 54806-3696 | 2016-10-27 |
| 1174071658 | Kenosha Community Health Center, Inc. | Clinic/Center | 2310 Center St, Racine, WI 53403-3330 | 2016-09-14 |
| 1841652021 | Scenic Bluffs Health Center, Inc. | Clinic/Center | 201 E Franklin St Rm B3, Sparta, WI 54656-1803 | 2016-03-25 |
| 1366844003 | Scenic Bluffs Health Center, Inc | Clinic/Center | 201 E Franklin St # B3, Sparta, WI 54656-1803 | 2014-09-25 |
| 1679983423 | The Lakes Community Health Center, Inc | Clinic/Center | 524 Bissell Street, White Lake, WI 54491 | 2014-05-02 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
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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.