ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (NPI# 1710066584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710066584 |
| Entity Type | Organization |
| Organization Name | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. |
| Other Organization Name | ASPIRUS PRENTICE CLINIC |
| Practice Address |
1511 Railroad Ave Prentice WI 54556-1155 |
| Mailing Address |
135 S Gibson St Medford WI 54451-1622 |
| Practice Telephone | 7154282521 |
| Practice Fax Number | 7154282522 |
| Mailing Telephone | 7157488100 |
| Mailing Fax Number | 7157488199 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | GREG SHAW (VP FINANCE) |
| Authorized Official Telephone | 7157488159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21303400 | 05 |
| Other Name | Type Code |
|---|---|
| ASPIRUS PRENTICE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1891971768 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 625 Peterson Av, Phillips, WI 54555-1430 | 2008-01-10 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1154468205 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 619 Bridge St, Prentice, WI 54556-1131 | 2007-01-30 |
| 1285703173 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 320 East Main, Gilman, WI 54433 | 2006-11-07 |
| 1104922814 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 103 South Gibson St, Medford, WI 54451-1622 | 2006-09-16 |
| 1760912919 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 729 Pine St, Athens, WI 54411-9305 | 2017-06-19 |
| 1639573009 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 1011 E Spruce St, Suite 6, Abbotsford, WI 54405-9647 | 2014-10-14 |
| 1164542528 | Aspirus Medford Hospital & Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 135 S Gibson St, Medford, WI 54451-1622 | 2007-03-30 |
| 1427105923 | Aspirus Medford Hospital & Clinics, Inc. | General Acute Care Hospital | 135 S Gibson St, Medford, WI 54451-1622 | 2007-01-05 |
| Street Address |
1511 RAILROAD AVE |
| City | PRENTICE |
| State | WI |
| Zip Code | 54556-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824098 | Mary Beth Reynolds | Nurse Practitioner | 1511 Railroad Ave, Prentice, WI 54556-1155 | 2018-09-10 |
| 1053817056 | Melissa Dawn Belle | Nurse Practitioner | 1511 Railroad Ave, Prentice, WI 54556-1155 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326229972 | Prentice School District | Local Education Agency (LEA) | 1025 Town Street, Prentice, WI 54556 | 2007-11-23 |
| 1407883655 | Richard John Reilly | Dentist | 1209 Railroad Ave, Prentice, WI 54556 | 2006-06-26 |
| 1740218247 | Jonathan Blake Morey | Family Medicine | 1511 Railroad Avenue, Prentice, WI 54556-0140 | 2006-06-30 |
| 1528355989 | Gentle Touch Chiropractic, LLC | Clinic/Center | 1501 Railroad Avenue, Prentice, WI 54556-0211 | 2011-07-06 |
| 1740470087 | Prentice Volunteer Fire Department and Ambulance Service | Ambulance | 605 Spruce St, Prentice, WI 54556-1125 | 2007-08-01 |
| 1154468205 | Aspirus Medford Hospital & Clinics, Inc. | Rehabilitation Unit | 619 Bridge St, Prentice, WI 54556-1131 | 2007-01-30 |
| 1174702419 | David L Schultz | Physical Therapist | 619 Bridge St, Prentice, WI 54556-1131 | 2007-11-02 |
| 1467965491 | Stable Reins, LLC | Clinic/Center | N5405 County Road A, Prentice, WI 54556-9432 | 2017-11-13 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
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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.