PARTNERSHIP COMMUNITY HEALTH CENTER, INC (NPI# 1689294159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689294159 |
| Entity Type | Organization |
| Organization Name | PARTNERSHIP COMMUNITY HEALTH CENTER, INC |
| Practice Address |
825 W Fulton St Waupaca WI 54981-1471 |
| Mailing Address |
5337 W Grande Market Dr Appleton WI 54913-8442 |
| Practice Telephone | 9207317445 |
| Mailing Telephone | 9207317445 |
| Mailing Fax Number | 9208822946 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | MARIA JACOBSON (HUMAN RESOURCES COORDINATOR) |
| Authorized Official Telephone | 9207506644 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARTNERSHIP COMMUNITY HEALTH CENTER , INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225074008 | Partnership Community Health Center, Inc | Clinic/Center | 5337 W Grande Market Dr, Appleton, WI 54913-8442 | 2006-06-21 |
| 1770103236 | Partnership Community Health Center, Inc | Clinic/Center | 2310 Westowne Ave, Oshkosh, WI 54904-7778 | 2020-04-24 |
| 1447870910 | Partnership Community Health Center, Inc | Clinic/Center | 913 S West Ave, Appleton, WI 54915-2394 | 2020-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PARTNERSHIP COMMUNITY HEALTH CENTER, INC. | 5337 Grande Market Dr, Appleton, WI 54913-8442 |
| Street Address |
825 W FULTON ST |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-1471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003858218 | Bruce Boushon | Pharmacist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2006-06-12 |
| 1851879274 | Melissa A Flease | Dental Hygienist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2018-07-30 |
| 1326433459 | Randall Liljegren | Pharmacist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2015-04-06 |
| 1235520826 | Stephanie Roehrig | Pharmacist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2015-02-18 |
| 1649602806 | James Bert Baszynski | Pharmacist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2013-07-30 |
| 1952642589 | Shopko Stores Operating Co.,llc | Eyewear Supplier (Equipment, not the service) | 825 W Fulton St, Waupaca, WI 54981-1471 | 2013-03-06 |
| 1265780464 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 825 W Fulton St, Waupaca, WI 54981-1471 | 2012-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693847 | Scenic Bluffs Health Center, Inc | Clinic/Center | 100 Blackhawk Dr, Viroqua, WI 54665-1315 | 2019-08-02 |
| 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 | ||||
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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.