ASCENSION GOOD SAMARITAN HOSPITAL, INC. (NPI# 1992356802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992356802 |
| Entity Type | Organization |
| Organization Name | ASCENSION GOOD SAMARITAN HOSPITAL, INC. |
| Practice Address |
3430 E Main St Merrill WI 54452-9001 |
| Practice Telephone | 7158047500 |
| Mailing Telephone | 7158047500 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | JONATHAN W SOHN (CFO) |
| Authorized Official Telephone | 4144653000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ascension Good Samaritan at Merrill | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407096266 | Ascension Good Samaritan Hospital, Inc. | Medicare Defined Swing Bed Unit | 601 S. Center Ave, Merrill, WI 54452-3404 | 2009-03-05 |
| Street Address |
3430 E MAIN ST |
| City | MERRILL |
| State | WI |
| Zip Code | 54452-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407835903 | Craig Steven Zastrow | Nurse Practitioner | 3430 E Main St, Merrill, WI 54452-9001 | 2006-01-12 |
| 1457995631 | Ascension Medical Group-northern Wisconsin, Inc | Clinic/Center | 3430 E Main St, Merrill, WI 54452-9001 | 2019-10-31 |
| 1467813857 | Melissa Koengeter | Nurse Practitioner | 3430 E Main St, Merrill, WI 54452-9001 | 2016-03-11 |
| 1003072687 | Robert William Sedlacek | Family Medicine | 3430 E Main St, Merrill, WI 54452-9001 | 2008-08-01 |
| 1154356954 | Ann L Fullington | Family Medicine | 3430 E Main St, Merrill, WI 54452-9001 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273799 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 100 Eagle Drive, Merrill, WI 54452 | 2019-09-06 |
| 1215413893 | Justine Tolles | Speech-Language Pathologist | Pine Crest, 2100 E 6th St, Merrill, WI 54452 | 2018-07-17 |
| 1265723688 | Primary Connection Health Care, Inc | Clinic/Center | 401 W. Main Street, Merrill, WI 54452 | 2011-04-20 |
| 1134374192 | Amanda J Wanta | Dental Hygienist | 401 West Mail Street, Merrill, WI 54452 | 2008-11-18 |
| 1457528598 | Lincoln County 51.437 Services | Case Management | 912 N Memorial Dr, Merrill, WI 54452 | 2008-05-08 |
| 1003019522 | Mary Margaret Hintze | Nurse Anesthetist, Certified Registered | 621 South Center Avenue, Merrill, WI 54452 | 2007-06-11 |
| 1093860702 | Katherine M. Gress-volpentesta | Chiropractor | 109 A S Center Ave, Merrill, WI 54452 | 2007-01-24 |
| 1578618187 | Gress Chiropractic Clinic, LLC | Chiropractor | 109 A S. Center Ave., Merrill, WI 54452 | 2007-01-24 |
| 1487751939 | Roger S Lamoreux | Optometrist | 728 E 2nd St, Merrill, WI 54452 | 2006-09-19 |
| 1568566776 | Paula K Mcintyre | Dietitian, Registered | 1205 Oday St, Merrill, WI 54452 | 2006-09-08 |
| Find all providers in zip 54452 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995631 | Ascension Medical Group-northern Wisconsin, Inc | Clinic/Center | 3430 E Main St, Merrill, WI 54452-9001 | 2019-10-31 |
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|---|---|---|---|---|
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| 1639733173 | Lafayette County | Clinic/Center | 107 Center Street, Argyle, WI 53504 | 2019-04-30 |
| 1942712344 | Divine Savior Healthcare, Inc. | Clinic/Center | N4390 Crossroads Clinic Road, Oxford, WI 53952 | 2017-10-26 |
| 1861904294 | Divine Savior Healthcare, Inc. | Clinic/Center | 102 Gillette Street, Pardeeville, WI 53954 | 2017-10-25 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| 1851652374 | St. Croix Regional Medical Center | Clinic/Center | 26425 Lakeland Avenue South, Webster, WI 54893-8341 | 2012-05-31 |
| 1811256126 | St. Croix Regional Medical Center | Clinic/Center | 205 West Oak Street, Frederic, WI 54837 | 2012-05-07 |
| 1508198961 | Door County Memorial Hospital | Clinic/Center | 3711 Highway 42, Fish Creek, WI 54212 | 2010-02-09 |
| 1174627483 | Door County Memorial Hospital | Clinic/Center | 910 Main Rd, Washington Island, WI 54246 | 2006-09-08 |
| 1881607463 | St. Joseph's Health Services, Inc | Clinic/Center | 301 Railroad Rd, Wonewoc, WI 53968-9425 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
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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.