GOOD SAMARITAN HEALTH CENTER OF MERRILL WI INC (NPI# 1679815716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679815716 |
Entity Type | Organization |
Organization Name | GOOD SAMARITAN HEALTH CENTER OF MERRILL WI INC |
Other Organization Name | MINISTRY GOOD SAMARITAN HEALTH CENTER |
Practice Address |
601 S Center Ave Merrill WI 54452-3404 |
Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
Practice Telephone | 7155365511 |
Mailing Telephone | 9526532525 |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |
Authorized Official Name | KRISTINE MCGARIGLE (PRESIDENT) |
Authorized Official Telephone | 7155392118 |
Is Organization Subpart | Y |
Parent Organization Name | GOOD SAMARITAN HEALTH CENTER OF MERRILL WI INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Other Name | Type Code |
---|---|
Ministry Good Samaritan Health Center | Doing Business As Name - Organization |
Street Address |
601 S CENTER AVE |
City | MERRILL |
State | WI |
Zip Code | 54452-3404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346234242 | Joseph Alan Heitz | Radiology | 601 S Center Ave, Merrill, WI 54452-3404 | 2005-09-07 |
1760962393 | Katie Beauduy | Nurse Practitioner | 601 S Center Ave, Merrill, WI 54452-3404 | 2018-08-14 |
1679059091 | Casey Jo Bube | Hospitalist | 601 S Center Ave, Merrill, WI 54452-3404 | 2018-07-18 |
1700222452 | Kristin T Woller | Occupational Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2013-05-21 |
1265775191 | Cole R. Marschke | Emergency Medicine | 601 S Center Ave, Merrill, WI 54452-3404 | 2013-03-28 |
1023379781 | Debra Kay Zuelsdorff | Physical Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-30 |
1679832349 | Kathy Jo Anderson | Physical Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-15 |
1275892168 | Erinn Brigid Bunnell | Occupational Therapist | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-11 |
1598024531 | Marcy A Wiltgen | Physical Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-11 |
1508125683 | Miira Catherine Allen | Physical Therapist | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184273799 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 100 Eagle Drive, Merrill, WI 54452 | 2019-09-06 |
1215413893 | Justine Tolles | Speech-Language Pathologist | Pine Crest, 2100 E 6th St, Merrill, WI 54452 | 2018-07-17 |
1265723688 | Primary Connection Health Care, Inc | Clinic/Center | 401 W. Main Street, Merrill, WI 54452 | 2011-04-20 |
1134374192 | Amanda J Wanta | Dental Hygienist | 401 West Mail Street, Merrill, WI 54452 | 2008-11-18 |
1457528598 | Lincoln County 51.437 Services | Case Management | 912 N Memorial Dr, Merrill, WI 54452 | 2008-05-08 |
1003019522 | Mary Margaret Hintze | Nurse Anesthetist, Certified Registered | 621 South Center Avenue, Merrill, WI 54452 | 2007-06-11 |
1093860702 | Katherine M. Gress-volpentesta | Chiropractor | 109 A S Center Ave, Merrill, WI 54452 | 2007-01-24 |
1578618187 | Gress Chiropractic Clinic, LLC | Chiropractor | 109 A S. Center Ave., Merrill, WI 54452 | 2007-01-24 |
1487751939 | Roger S Lamoreux | Optometrist | 728 E 2nd St, Merrill, WI 54452 | 2006-09-19 |
1568566776 | Paula K Mcintyre | Dietitian, Registered | 1205 Oday St, Merrill, WI 54452 | 2006-09-08 |
Find all providers in zip 54452 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477188100 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Non-Pharmacy Dispensing Site | 635 S 28th St, Milwaukee, WI 53215-1201 | 2020-03-03 |
1841845385 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 223 South Main St., Blair, WI 54616 | 2019-08-01 |
1982258737 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 919 Hoeschler Dr Ste 100, Sparta, WI 54656-2202 | 2019-07-30 |
1780142992 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 11040 N Range Line Rd, Mequon, WI 53092-4930 | 2019-03-06 |
1992284087 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 4859 South 60th Street, Greenfield, WI 53220 | 2018-08-09 |
1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
1205355500 | Froedtert Health | Non-Pharmacy Dispensing Site | 4850 S 60th St, Greenfield, WI 53220-4616 | 2017-09-18 |
1790071637 | St Mary's Hospital Medical Center | Non-Pharmacy Dispensing Site | 2840 Okeeffe Ave, Sun Prairie, WI 53590-7077 | 2011-06-20 |
1629390729 | Jt Medical Services, Inc. | Non-Pharmacy Dispensing Site | 12855 West Lisbon Road, 2nd Floor, Brookfield, WI 53005 | 2010-02-17 |
1013243294 | Barron County Office On Aging | Non-Pharmacy Dispensing Site | 335 E. Monroe Avenue, Room 112, Barron, WI 54812-1478 | 2009-10-23 |
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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.