MILE BLUFF MEDICAL CENTER INC (NPI# 1851438022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851438022 |
| Entity Type | Organization |
| Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Other Organization Name | MILE BLUFF DIALYSIS CENTER |
| Practice Address |
1040 Division St Mauston WI 53948-1931 |
| Practice Telephone | 6088476161 |
| Practice Fax Number | 6088472079 |
| Mailing Telephone | 6088476161 |
| Mailing Fax Number | 6088472079 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | MR. JAMES OKEEFE (PRESIDENT) |
| Authorized Official Telephone | 6088476161 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
134 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42056200 | 05 |
| Other Name | Type Code |
|---|---|
| Mile Bluff Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447397492 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1408 Wheelihan Ave, Necedah, WI 54646-8253 | 2007-01-31 |
| 1487734380 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2006-10-16 |
| 1932124898 | Mile Bluff Medical Center Inc | Skilled Nursing Facility | 612 View St, New Lisbon, WI 53950-1079 | 2006-07-13 |
| 1316324395 | Mile Bluff Medical Center Inc | Clinic/Center | 28 Commerce St, Wisconsin Dells, WI 53965-8293 | 2015-04-29 |
| 1356785240 | Mile Bluff Medical Center Inc | Non-Pharmacy Dispensing Site | 1050 Division St, Mauston, WI 53948-1931 | 2013-04-22 |
| 1548506165 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 1104 21st St, Reedsburg, WI 53959-1156 | 2012-12-31 |
| 1093051617 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 402 W Lake St, Friendship, WI 53934-9699 | 2012-12-31 |
| 1275879884 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 321 Butts Ave, Tomah, WI 54660-1412 | 2012-12-31 |
| 1104162841 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2012-12-28 |
| 1881930527 | Mile Bluff Medical Center Inc | Clinic/Center | 1040 Division St, Mauston, WI 53948-1931 | 2012-12-28 |
| Street Address |
1040 DIVISION ST |
| City | MAUSTON |
| State | WI |
| Zip Code | 53948-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749188 | Kimberley E. Sabey | Family Medicine | 1040 Division St, Mauston, WI 53948-1931 | 2005-09-08 |
| 1518464924 | Emily Bliss Walden | Advanced Practice Midwife | 1040 Division St, Mauston, WI 53948-1931 | 2018-04-11 |
| 1396110821 | Cassie Sullivan | Nurse Practitioner | 1040 Division St, Mauston, WI 53948-1931 | 2015-12-09 |
| 1306255021 | Ling Zhong | Physician Assistant | 1040 Division St, Mauston, WI 53948-1931 | 2014-08-06 |
| 1467895136 | Jenna K. Sebranek | Family Medicine | 1040 Division St, Mauston, WI 53948 | 2013-04-12 |
| 1881930527 | Mile Bluff Medical Center Inc | Clinic/Center | 1040 Division St, Mauston, WI 53948-1931 | 2012-12-28 |
| 1932458932 | Gregory E. Burgess | Physician Assistant | 1040 Division St, Mauston, WI 53948-1931 | 2012-09-05 |
| 1346563756 | Sandra K Hanko | Registered Nurse | 1040 Division St, Mauston, WI 53948-1931 | 2010-03-12 |
| 1396971115 | Eric Michael Ness | Family Medicine | 1040 Division St, Mauston, WI 53948-1931 | 2009-06-08 |
| 1417170788 | Angela Marie Gatzke-plamann | Family Medicine | 1040 Division St, Mauston, WI 53948-1931 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114557691 | Paige Odegard | Case Manager/Care Coordinator | Juneau Co. Dept of Human Services, 200 Hickory Street, Mauston, WI 53948 | 2020-01-23 |
| 1083934418 | Brandon J Valgardson | Dentist | 880 Herriott Drive, Mauston, WI 53948 | 2010-06-08 |
| 1235451204 | Robin Adair Thompson | Dental Hygienist | 880 Herriot Drive, Mauston, WI 53948 | 2010-02-18 |
| 1114169943 | Ptworks LLC | Clinic/Center | 690 Kennedy Street, Mauston, WI 53948 | 2009-03-25 |
| 1609901529 | Mary Ann Brown | Physical Therapy Assistant | N3334 Hwy 58, Mauston, WI 53948 | 2007-02-22 |
| 1497809412 | Bobbi Eckerman | Occupational Therapist | 1050 Division St., Mauston, WI 53948 | 2007-01-23 |
| 1215092820 | Patrick Michael Mccormick | Dentist | 510 E State St, Mauston, WI 53948 | 2006-12-26 |
| 1093772287 | Ann Marie June | Social Worker | Juneau County Dept of Human Services, 200 Hickory St, Mauston, WI 53948 | 2006-05-01 |
| 1740252857 | Phillips Drug Store, Inc. | Pharmacy | 123 E State St, Mauston, WI 53948 | 2006-02-02 |
| 1336781574 | Leah Bernadette Doughty | Physician Assistant | 1050 Division St, Urgent Care/ed, Mauston, WI 53948 | 2019-10-09 |
| Find all providers in zip 53948 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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| 1992352082 | Fresenius Kidney Care Madison, LLC | Clinic/Center | 4600 American Pkwy Ste 102, Madison, WI 53718-8334 | 2019-08-22 |
| 1770040859 | Fresenius Medical Care Oshkosh, LLC | Clinic/Center | 2700 W 9th Ave Ste 101a, Oshkosh, WI 54904-7201 | 2019-02-26 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1992212286 | Total Renal Care Inc | Clinic/Center | 733 E Capitol Dr, Milwaukee, WI 53212 | 2018-01-08 |
| 1023527058 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2831 Okeeffe Ave, Sun Prairie, WI 53590-7057 | 2017-09-21 |
| 1093234569 | Fresenius Medical Care Milwaukee, LLC | Clinic/Center | 2615 W Silver Spring Dr, Milwaukee, WI 53209-4219 | 2017-09-15 |
| 1770010928 | Total Renal Care Inc | Clinic/Center | 9127 N 76th St, Milwaukee, WI 53223-1905 | 2017-05-18 |
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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.