NPIMap

Organization Active NPI

Waupaca Wellness Center LLC

  • Clinic/Center
  • Waupaca, WI
National Provider Identifier
1003132556
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3702-012 Issued in WI
Legal business name
WAUPACA WELLNESS CENTER LLC
Practice address
1336 Michigan St
Suite a
Waupaca, WI 54981-1648
Phone
(715) 258-7444
Fax
(715) 258-7844
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Cleve Hamel, D.C.NPI 1932129996
Title
Owner
Phone
(715) 258-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3702-012 WI Primary

Addresses

Primary practice location

1336 Michigan St
Suite a
Waupaca, WI 54981-1648

Mailing address

1336 Michigan St
Suite a
Waupaca, WI 54981-1648
Phone (715) 258-7444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1003132556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 MICHIGAN ST",
            "address_2": "SUITE A",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811648",
            "telephone_number": "715-258-7444",
            "fax_number": "715-258-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 MICHIGAN ST",
            "address_2": "SUITE A",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811648",
            "telephone_number": "715-258-7444",
            "fax_number": "715-258-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUPACA WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "HAMEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-258-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "3702-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waupaca, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.