MILE BLUFF MEDICAL CENTER INC (NPI# 1932124898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932124898 |
| Entity Type | Organization |
| Organization Name | MILE BLUFF MEDICAL CENTER INC |
| Other Organization Name | CREST VIEW NURSING HOME |
| Practice Address |
612 View St New Lisbon WI 53950-1079 |
| Practice Telephone | 6085623667 |
| Practice Fax Number | 6085626590 |
| Mailing Telephone | 6085623667 |
| Mailing Fax Number | 6085626590 |
| Enumeration Date | 2006-07-13 |
| 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 | 314000000X | Skilled Nursing Facility | 2367 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20189600 | 05 |
| Other Name | Type Code |
|---|---|
| Crest View Nursing Home | 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 |
| 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 |
| 1356589394 | Mile Bluff Medical Center Inc | Non-emergency Medical Transport (VAN) | 1050 Division St, Mauston, WI 53948-1931 | 2009-01-29 |
| Street Address |
612 VIEW ST |
| City | NEW LISBON |
| State | WI |
| Zip Code | 53950-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811307 | Bret Reynolds | Psychiatry & Neurology | 2000 Progress Road, New Lisbon Correctional Institute-health Services Unit, New Lisbon, WI 53950 | 2018-02-13 |
| 1093937807 | Regine Marie-pierre Radavich | Registered Nurse | W6496 37th Street, New Lisbon, WI 53950 | 2007-05-02 |
| 1205990538 | Charles M Rubash | Dentist | 600 S Monroe, New Lisbon, WI 53950 | 2006-12-21 |
| 1780674929 | Gloria J. Nachreiner | Physician Assistant | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-10-27 |
| 1427413483 | Mile Bluff Medical Center | Clinic/Center | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2015-12-17 |
| 1104162841 | Mile Bluff Medical Center Inc | Durable Medical Equipment & Medical Supplies | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2012-12-28 |
| 1700867082 | Anne B. Fenwick | Physician Assistant | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-11-14 |
| 1437149598 | Timothy R. Hinton | Family Medicine | 901 W Bridge St, New Lisbon, WI 53950-1083 | 2005-10-28 |
| 1174717656 | New Lisbon School District | Local Education Agency (LEA) | 500 S Forest St, New Lisbon, WI 53950-1119 | 2007-08-28 |
| 1477178473 | Grace Counseling & Family Services S.c | Community/Behavioral Health | 121 S Adams St, New Lisbon, WI 53950-1205 | 2020-06-15 |
| Find all providers in zip 53950 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629041603 | County of Burlington | Skilled Nursing Facility | 600 Pemberton-browns Mills Road, New Lisbon, NJ 08064 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | NEW LISBON |
| Zip Code | 53950 |
Please comment or provide details below to improve the information on MILE BLUFF MEDICAL CENTER 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.