HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEATLH CARE FACILITY (NPI# 1912015256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912015256 |
Entity Type | Organization |
Organization Name | HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEATLH CARE FACILITY |
Other Organization Name | NORTH CENTRAL HEATLH CARE |
Practice Address |
1100 Lake View Dr Wausau WI 54403-6785 |
Practice Telephone | 7158484600 |
Practice Fax Number | 7158455398 |
Mailing Telephone | 7158484600 |
Mailing Fax Number | 7158455398 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2017-07-19 |
Authorized Official Name | MICHAEL LOY (INTERIM CEO) |
Authorized Official Telephone | 7158484600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1677 | WI | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 41726900 | 05 |
Other Name | Type Code |
---|---|
North Central Heatlh Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952423808 | Human Services Board Serving North Central Heatlh Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2007-04-04 |
1659489995 | Human Services Board Serving North Central Heatlh Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
1477661718 | Human Services Board Serving North Central Heatlh Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
1194833434 | Human Services Board Serving North Central Heatlh Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
1821106162 | Human Services Board Serving North Central Heatlh Care Facility | Clinic/Center | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
1932217270 | Human Services Board Serving North Central Heatlh Care Facility | Dentist | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-28 |
1740397108 | Human Services Board Serving North Central Heatlh Care Facility | Case Management | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-08-23 |
Street Address |
1100 LAKE VIEW DR |
City | WAUSAU |
State | WI |
Zip Code | 54403-6785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609823509 | Barbara V Seiser | Nurse Practitioner | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-05-27 |
1457958449 | Chloe L Smith | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-10-03 |
1548867534 | Karly J Wisnosky | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-10-03 |
1073125282 | Lauren E Westermeier | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-08-19 |
1962011445 | Christina L Rivay | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-30 |
1356950851 | Holly J Jaecks | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-30 |
1376151035 | Francis S Stella | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-07-20 |
1851918569 | Heike I Szuszka | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-06-29 |
1316568561 | Sulayman Jobe | Registered Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-04-29 |
1912533225 | Rachel D Otto | Licensed Practical Nurse | 1100 Lake View Dr, Wausau, WI 54403-6799 | 2020-03-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
Find all providers in zip 54403 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053974964 | Pain Centers of Wisconsin - Wausau, LLC | Durable Medical Equipment & Medical Supplies | 400 Westwood Dr Ste 200, Wausau, WI 54401-7801 | 2019-04-16 |
1861954497 | Scott Johnson | Durable Medical Equipment & Medical Supplies | 1014 Everest Blvd, Wausau, WI 54403-5057 | 2019-04-02 |
1083181960 | Roundys Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 205 Central Bridge St, Wausau, WI 54401-2947 | 2018-10-29 |
1407246101 | Sleep Apnea Care and Wellness LLC | Durable Medical Equipment & Medical Supplies | 305 S 18th Ave, Ste 300, Wausau, WI 54401-4208 | 2015-02-02 |
1831537869 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 Central Bridge St, Wausau, WI 54401-2944 | 2013-06-12 |
1376827378 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 4405 Stewart Ave, Ste B, Wausau, WI 54401-3866 | 2011-10-10 |
1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
1396074936 | Aspirus Vna Home Health Inc | Durable Medical Equipment & Medical Supplies | 5450 Stewart Ave, Wausau, WI 54401-3876 | 2009-12-10 |
1225267834 | Marshfield Clinic | Durable Medical Equipment & Medical Supplies | 2600 Stewart Center, Wausau, WI 54401-1403 | 2009-07-06 |
1730249665 | Reliant Rehab Service & Supply, LLC | Durable Medical Equipment & Medical Supplies | 6705a Stewart Ave, Wausau, WI 54401-9318 | 2006-12-11 |
Find all providers in WAUSAU |
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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.