NPIMap

Organization Active NPI

Deerfield Care Cener, LLC

  • Occupational Medicine Clinic/Center
  • New Richmond, WI
National Provider Identifier
1013351899
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
522626 Issued in WI
Legal business name
DEERFIELD CARE CENER, LLC
Practice address
575 Hospital Road
New Richmond, WI 54017
Phone
(715) 243-3930
NPI assigned
Apr 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Megan Corcoran
Title
Administrator
Phone
(715) 243-3933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 522626 WI Primary

Addresses

Primary practice location

575 Hospital Road
New Richmond, WI 54017

Mailing address

1127 W 8TH St
New Richmondd, WI 54017-1467
Phone (715) 243-3930

Other identifiers 1

IdentifierTypeStateIssuer
2001122MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Deerfield Care Cener LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1013351899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W 8TH ST",
            "city": "NEW RICHMONDD",
            "state": "WI",
            "postal_code": "540171467",
            "telephone_number": "715-243-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HOSPITAL ROAD",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "54017",
            "telephone_number": "715-243-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD CARE CENER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-243-3933"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "WI",
            "license": "522626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001122",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.