HAGEN CHIROPRACTIC, LTD. (NPI# 1740518554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740518554 |
| Entity Type | Organization |
| Organization Name | HAGEN CHIROPRACTIC, LTD. |
| Practice Address |
529 Mill St Green Lake WI 54941-9425 |
| Mailing Address |
Po Box 336 Green Lake WI 54941-0336 |
| Practice Telephone | 9202944357 |
| Mailing Telephone | 9202944357 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2009-12-07 |
| Authorized Official Name | DR. ETHAN H HAGEN (PRESIDENT) |
| Authorized Official Telephone | 9202944357 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 4507-012 | WI | Ambulatory Health Care Facilities |
| Street Address |
529 MILL ST |
| City | GREEN LAKE |
| State | WI |
| Zip Code | 54941-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568622280 | Community Medical Center of Green Lake, LLC | Family Medicine | 670 County Road A, Green Lake, WI 54941 | 2008-06-16 |
| 1144411612 | Green Lake School District | Local Education Agency (LEA) | 612 Mill St, Green Lake, WI 54941 | 2007-08-08 |
| 1073640736 | Mari Ann Krueger | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-02-28 |
| 1013072750 | Colleen Pomplun | Chiropractor | 505 Lake Street, Green Lake, WI 54941 | 2006-12-22 |
| 1407849433 | James M Williams | Family Medicine | 670 Cty Rd A, Green Lake, WI 54941 | 2005-08-24 |
| 1902373103 | Trina Hernandez | Nurse Practitioner | 670 County Road A, Green Lake, WI 54941 | 2018-10-26 |
| 1821597311 | Sara Rose Rhode | Counselor | 571 County Road A, Green Lake, WI 54941 | 2018-02-09 |
| 1366857146 | Kevin Daniel Castleberry | Dentist | 560 Mill St, Green Lake, WI 54941 | 2014-06-30 |
| 1780867408 | County of Green Lake | Counselor | 571 County Road A, Green Lake, WI 54941 | 2007-12-17 |
| 1316077860 | Emily Roth Johnson | Counselor | 500 Lake Steel Street, Green Lake, WI 54941 | 2007-03-06 |
| Find all providers in zip 54941 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992945182 | Active Family Chiropractic Center LLC | Clinic/Center | 610 South St, Green Lake, WI 54941-9496 | 2009-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757986 | Wonderland Therapy LLC | Clinic/Center | 2116 Winnebago St, La Crosse, WI 54601-5060 | 2020-10-15 |
| 1124633870 | Aspirus Riverview Hospital & Clinics, Inc. | Clinic/Center | 146 N Central Ave, Marshfield, WI 54449-2173 | 2020-09-10 |
| 1952915639 | Gundersen Clinic Ltd | Clinic/Center | 2615 George St, La Crosse, WI 54603-1670 | 2020-09-01 |
| 1194337212 | Accident and Injury Rehab Center, Inc | Clinic/Center | 6114 W Capitol Dr Ste 100-102, Milwaukee, WI 53216-2147 | 2020-08-19 |
| 1275159147 | American Current Care P.a. | Clinic/Center | 6302 75th St, Kenosha, WI 53142-3506 | 2020-06-17 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1598318818 | Acorn Dietetics, LLC | Clinic/Center | 906 10th Ave, New Glarus, WI 53574-9765 | 2019-07-17 |
| 1205493582 | Freedom Family Chiropractic | Clinic/Center | 809 Phillips Blvd, Sauk City, WI 53583-1313 | 2019-05-22 |
| 1376001578 | Lowtwillc | Clinic/Center | 2323 N Mayfair Rd Ste 104, Wauwatosa, WI 53226-1506 | 2019-03-06 |
| 1154889749 | Positive Directions Inc | Clinic/Center | 3510 W Saint Paul Ave # 6, Milwaukee, WI 53208-4125 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
| City | GREEN LAKE |
| Zip Code | 54941 |
Please comment or provide details below to improve the information on HAGEN CHIROPRACTIC, 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.