Mile Bluff Clinic, LLP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MILE BLUFF CLINIC, LLP

Practice address

300 Race St
Wisconsin Dells, WI 53965-1822

Phone

(608) 254-2574

NPI assigned

Nov 15, 2007

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Fronk

Title

Administrator

Phone

(608) 847-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1053592261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RACE ST",
            "city": "WISCONSIN DELLS",
            "state": "WI",
            "postal_code": "539651822",
            "telephone_number": "608-254-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE BLUFF CLINIC, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "FRONK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-847-5000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41679000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Marston
• Julia Marie McAlpin, RN
• Ganna O McGinnis
• Babette Marie Mehling, APNP
• Alan P Messa, PTA
• Mile Bluff Clinic, LLP
• Mile Bluff Medical Center Inc (Mile Bluff Delton Clinic)
• Robert E Moss, DDS
• Sharilyn B Munneke, MD
• Maureen A Murphy, MD

• Durable Medical Equipment & Medical Supplies in Wisconsin Dells, WI
• Providers in Wisconsin Dells, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.