WESTERN WISCONSIN MEDICAL ASSOCIATES HUDSON LTD (NPI# 1679534697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679534697 |
| Entity Type | Organization |
| Organization Name | WESTERN WISCONSIN MEDICAL ASSOCIATES HUDSON LTD |
| Other Organization Name | HUDSON PHYSICIANS |
| Practice Address |
403 Stageline Road Hudson WI 54016 |
| Practice Telephone | 7155316800 |
| Practice Fax Number | 7155316801 |
| Mailing Telephone | 7155316800 |
| Mailing Fax Number | 7155316801 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | ERNIE WALLIN (ADMINISTRATOR DIRECTOR) |
| Authorized Official Telephone | 7155316800 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN WISCONSIN MEDICAL ASSOCIATES HUDSON LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | WI | Laboratories | |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32723100 | 05 | |
| WI | MEDICARE | 56125 | 01 |
| Other Name | Type Code |
|---|---|
| Hudson Physicians | Doing Business As Name - Organization |
| Street Address |
403 STAGELINE ROAD |
| City | HUDSON |
| State | WI |
| Zip Code | 54016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747976 | Stephanie Lynn Johnson | Advanced Practice Midwife | 403 Stageline Road, Hudson, WI 54016-7848 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1194386680 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Hudson, NY 12534-2907 | 2019-06-25 |
| 1770095796 | Midwest Integrated Medical Center LLC | Clinic/Center | 2920 Enloe St Ste 105, Hudson, WI 54016-8191 | 2017-10-31 |
| 1003363466 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Hudson, NY 12534-2907 | 2016-09-02 |
| 1427420181 | Group Health Plan Inc | Clinic/Center | 411 Stageline Rd, #200, Hudson, WI 54016 | 2015-10-21 |
| 1851775894 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 240, Hudson, NY 12534-2907 | 2015-07-18 |
| 1750790648 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 240, Hudson, NY 12534-2907 | 2014-08-05 |
| 1568874287 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 110, Hudson, NY 12534-2907 | 2014-05-29 |
| 1629497250 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite L30, Hudson, NY 12534-2907 | 2014-04-10 |
| 1417371519 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave, Suite 290, Hudson, NY 12534-2907 | 2014-02-10 |
| Find all providers in HUDSON | ||||
Please comment or provide details below to improve the information on WESTERN WISCONSIN MEDICAL ASSOCIATES HUDSON LTD.
| 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.