ST. CLARE HEALTH MISSION OF MONROE COUNTY, INC (NPI# 1912535022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912535022 |
| Entity Type | Organization |
| Organization Name | ST. CLARE HEALTH MISSION OF MONROE COUNTY, INC |
| Practice Address |
310 West Main Street Sparta WI 54656-2142 |
| Practice Telephone | 6083665343 |
| Mailing Telephone | 6083665343 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | MICHAEL JOSEPH SUEVDENS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6083665343 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
310 WEST MAIN STREET |
| City | SPARTA |
| State | WI |
| Zip Code | 54656-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164400503 | Alice M Bachop | Nurse Practitioner | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| 1245287457 | Kimberly Buchanan Krupicka | Counselor | 310 West Main Street, Sparta, WI 54656-2142 | 2006-05-31 |
| 1366420788 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 310 West Main Street, Sparta, WI 54656 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929279 | Jennifer Johnson | Physical Therapy Assistant | 14345 County Hwy B, Sparta, WI 54656 | 2016-09-01 |
| 1578019899 | M&t Performance Chiropractic, LLC | Chiropractor | 213 N Black River St, Sparta, WI 54656 | 2016-08-28 |
| 1801223003 | Emily M Nolte | Counselor | 112 S Court St. Room 3000, Sparta, WI 54656 | 2013-10-02 |
| 1518254945 | Therapeutic Home Services | Point of Service | 9484 Festival Avenue, Sparta, WI 54656 | 2011-07-06 |
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1316276660 | Gary J Korthals | Pharmacist | 201 S. Water St, Sparta, WI 54656 | 2009-12-16 |
| 1689847329 | Donald N. La Force | Hearing Instrument Specialist | 117 West Oak St, Sparta, WI 54656 | 2008-04-02 |
| 1578540894 | Marc D Tumerman | Family Medicine | 310 West Main St, Sparta, WI 54656 | 2005-12-28 |
| 1003398488 | Ariel Dawn Ferdock | Pharmacist | 310 W Main St, Sparta, WI 54656 | 2018-09-03 |
| 1972001881 | Carmen Alyssa Adams | Physician Assistant | 1111 W Wisconsin St, Sparta, WI 54656 | 2018-01-25 |
| Find all providers in zip 54656 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471281 | Companion Day Service | Voluntary or Charitable | 905 Tiny Tigers Ct, Marshfield, WI 54449-3069 | 2019-11-13 |
| 1629636873 | Autism Society of Greater Wisconsin | Voluntary or Charitable | 1477 Kenwood Dr Ste 100, Menasha, WI 54952-1160 | 2019-06-03 |
| 1548826159 | Center for Childhood Safety | Voluntary or Charitable | 842 S Military Ave, Green Bay, WI 54304-2114 | 2019-05-20 |
| 1366005019 | Tim Halbrook Builders, Inc | Voluntary or Charitable | 3681 Monroe Rd, De Pere, WI 54115-8355 | 2019-04-18 |
| 1073072542 | Baraboo River Equine-assisted Therapies Inc. | Voluntary or Charitable | E12311 County Rd W, Baraboo, WI 53913-9668 | 2019-03-14 |
| 1225504335 | Autism Society of South Central Wisconsin | Voluntary or Charitable | 437 S Yellowstone Dr Ste 217a, Madison, WI 53719-1061 | 2018-10-16 |
| 1346742764 | Superior Douglas County Family Ymca | Voluntary or Charitable | 9 N 21st St, Superior, WI 54880-5201 | 2018-03-01 |
| 1295253722 | Allied Horsemanship, Inc | Voluntary or Charitable | 35954 Cypress Ln, Prairie Du Chien, WI 53821-8831 | 2017-09-05 |
| 1508391079 | Lake Area Free Clinic | Voluntary or Charitable | 856 B Armour Road, Oconomowoc, WI 50366 | 2017-04-21 |
| 1093248569 | Association for The Rights of Citizens With Handicaps | Voluntary or Charitable | 419 Frederick St, Waukesha, WI 53186-5605 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. CLARE HEALTH MISSION OF MONROE COUNTY, INC.
| 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.