Dickinson County Healthcare System
Organization Active NPI Rehabilitation Clinic/Center · Niagara, WI
NPI 1043892003 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1043892003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- DICKINSON COUNTY HEALTHCARE SYSTEM
- Practice address
- 500 Roosevelt Rd
Niagara, WI 54151-1331 - Phone
- (715) 251-1200
- NPI assigned
- Apr 28, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- MARSHFIELD CLINIC HEALTH SYSTEM INC
Authorized official
- Name
- Kathleen A Bressler
- Title
- Coo, Ao
- Phone
- (715) 975-6018
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 19
Member of 2
Practitioners 18
-
Jaime Paternoster, OTR/L
-
Emily Alessandroni, PT, DPT
-
Nicholas John Alessandroni, PT, DPT
-
Monica Jean Goodreau, OT, CHT
-
Kelly Marie Long, PT, DPT
-
Lisa Ann Osterberg, OTR
-
Hanah Roell, SLP
-
Jessica Schulze, PT, DPT
-
Terrance David Tripp, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000583 | MI | Part B Supplier - Clinic/Group Practice | 6800784943 |
Receives reassigned benefits from 156 practitioners 27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Skandia, MI; Novi, MI; Munising, MI; Marquette, MI; Kingsford, MI; Ishpeming, MI; Iron River, MI; Iron Mountain, MI… |
National Provider Directory
- Part of
- Marshfield Clinic Health System Inc
Locations
500 Roosevelt Rd
Niagara, WI 54151
Phone (715) 251-1200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
500 Roosevelt Rd
Niagara, WI 54151-1331
Mailing address
1000 N Oak Ave
Attn: Provider Enrollment Coordinator SHP FL 2
Marshfield, WI 54449-5703
Phone (715) 389-0660
Other names
- Marshfield Medical Center - Dickinson Niagara Rehab Center
Other providers in Niagara, WI
- Elizabeth Jo Allin
- Lanny Ann Brown
- Cassandra Lynn Callahan
- Alisha Marie Danoff
- Gilbert Corbin Engel
- Florence County Rescue Squad
- Florence County Rescue Squad
- Maureen Therese Garvaglia
- Terri Hager
All providers in Niagara, WI · Rehabilitation Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.