GRANT REGIONAL HEALTH CENTER, INC (NPI# 1699724443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699724443 |
| Entity Type | Organization |
| Organization Name | GRANT REGIONAL HEALTH CENTER, INC |
| Other Organization Name | POTOSI TENNYSON MEDICAL CLINIC |
| Practice Address |
114 Us Highway 61 N Potosi WI 53820-9502 |
| Practice Telephone | 6087232143 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-07-05 |
| Authorized Official Name | MS. DAWN MARIE BANDY (CFO) |
| Authorized Official Telephone | 6087233202 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRANT REGIONAL HEALTH CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Potosi Tennyson Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868945 | Grant Regional Health Center, Inc | Family Medicine | 222 W Amelia St, Cassville, WI 53806-9774 | 2019-02-26 |
| 1518339480 | Grant Regional Health Center, Inc | Family Medicine | 507 S Monroe St, Lancaster, WI 53813-2054 | 2015-10-30 |
| 1356776710 | Grant Regional Health Center, Inc | Obstetrics & Gynecology | 507 S Monroe St, Lancaster, WI 53813-2054 | 2013-09-04 |
| Street Address |
114 US HIGHWAY 61 N |
| City | POTOSI |
| State | WI |
| Zip Code | 53820-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043267297 | Potosi Rescue Squad | Emergency Medical Technician, Basic | 210 N Main St, Potosi, WI 53820 | 2006-05-30 |
| 1326214784 | Potosi School District | Local Education Agency (LEA) | 128 Us Highway 61 N, Potosi, WI 53820-9502 | 2008-05-06 |
| 1346290491 | Ann M Weltin | Nurse Practitioner | 102 Us Highway 61 N, Potosi, WI 53820-9502 | 2006-05-11 |
| 1790859106 | Lori A Page | Licensed Practical Nurse | 5535 Rockville Rd, Potosi, WI 53820-9621 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528570785 | Community Care Pharmacy, LLC | Pharmacy | 410 E High St Ste B, Potosi, MO 63664-1927 | 2017-10-27 |
| 1073042313 | Gary Selbert | Counselor | 24 Southtowne, Potosi, MO 63664-5729 | 2017-06-09 |
| 1477906238 | Amelia Turner | Registered Nurse | 10071 Crescent Rd, Potosi, MO 63664-2040 | 2016-07-18 |
| 1083017461 | Carolyn Coyne Maryan | Specialist/Technologist | 400 Mine St., Citadel School, Potosi, MO 63664 | 2014-09-30 |
| 1861894057 | Michael Lee Henson | Chiropractor | 910 N Missouri St, Potosi, MO 63664-2101 | 2014-09-19 |
| 1174940647 | Jennifer Diane Kearns | Counselor | 210 E High St, Suite 5, Potosi, MO 63664-1909 | 2014-03-23 |
| 1477979540 | Hearing Aid Service LLC | Hearing Aid Equipment | 107 E High St, Potosi, MO 63664-1906 | 2014-03-12 |
| 1770915258 | Gordon Goldman Md LLC | Obstetrics & Gynecology | 612 E High St, Suite 220, Potosi, MO 63664-1406 | 2013-08-06 |
| 1558640623 | Bobbi J Summers | Counselor | 215 E High St Ste 5, Potosi, MO 63664-1950 | 2011-08-08 |
| 1629398110 | Tricorex Inc. | Durable Medical Equipment & Medical Supplies | 410 E High St, Potosi, MO 63664-1927 | 2010-06-07 |
| Find all providers in POTOSI | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972707099 | Linda D Butler | Nurse Practitioner | 108 Frizzell St., Ste. 6, Potosi, MO 63664-1505 | 2007-06-13 |
| 1346295607 | Donna Yates | Nurse Practitioner | 600 Purcell Dr, Suite B, Potosi, MO 63664 | 2006-05-24 |
| 1346290491 | Ann M Weltin | Nurse Practitioner | 102 Us Highway 61 N, Potosi, WI 53820-9502 | 2006-05-11 |
| 1144831124 | Kristin R Jennings | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2020-08-12 |
| 1992367213 | Shannon Michelle Leftridge | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2019-07-08 |
| 1578092797 | Brittany Nicole Helms | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2017-06-10 |
| 1285171462 | Kallie Belfield | Nurse Practitioner | 300 Health Way Dr, Potosi, MO 63664-1420 | 2017-01-25 |
| 1912359852 | Sarah Michelle Trokey | Nurse Practitioner | 200 Health Way Dr, Potosi, MO 63664-1434 | 2016-07-03 |
| 1164863775 | Shawn Lenn Geile | Nurse Practitioner | 108 Frizzell St, Potosi, MO 63664-1505 | 2013-07-11 |
| 1306112388 | Beverly Dawn Schneider | Nurse Practitioner | 1 Southtowne Dr, Potosi, MO 63664-5729 | 2012-03-23 |
| Find all providers in POTOSI | ||||
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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.