The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1952854648 |
NPI Entity Type | Organization |
Provider Name |
Us Army Health Clinic
Other Name |
Subpart of Organization | United States Army |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | Bldg 2669 West Regimental Road, Ft Mccoy, WI, US |
Provider Mailing Address | Bldg 2669 West Regimental Road, Ft Mccoy, WI, US, 546565229 |
Is Sole Proprietor? | No |
Official Name | MR. Jesse C Kollasch-roberts |
Official Position | NURSE ASSISTANT |
Phone | 608-388-3025 |
Taxonomy Code | |
Taxonomy Name | Military/U.S. Coast Guard Outpatient Clinic/Center |
Classification | |
Group | |
License No. | 343143 |
License State | WI |
Description | The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
70101705 | WI | No |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Timothy H Mcdonough Individual |
600 Highland Ave |
||
PA-C Jennifer Parnell Individual |
1300 South Drive |
||
Dean Health Systems, Inc Organization |
1821 S Stoughton Rd |
||
DDS Katherine Anne Knabe Individual |
5337 W Grande Market Dr |
||
PA(ASCP) Amanda Katsma Individual |
5000 W National Ave |
||
MRS. APNP, PMHNP-BC Tilly Burroughs Individual |
1114 56th St |
||
Shong Chang Individual |
10 Tower Dr |
||
Golden Medical Transportation Llc Organization |
1740 E Mason St # 5 |
||
LCSW, SAC-IT Alexandra Duvall Individual |
540 College St |
||
D-PT Rachel Ann Lohrengel Individual |
744 S Webster Ave |
||
LPC Rebecca A Richards Individual |
820 Washington St |
||
DR. D.O. Meredith Caroline Schaffner Individual |
1836 South Ave |
||
Rebecca Fafard Individual |
702 W Main St |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare, Inc. Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
611 Sherman Ave E |
||
MRS. LPC Holly L Doughty Individual |
120 E 4th St |
||
Fort Memorial Hospital Organization |
611 Sherman Ave E |
||
Fort Healthcare Inc Organization |
500 Mcmillen St |
||
Fort Healthcare, Inc Organization |
611 Sherman Ave E |
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