NPIMap

Organization Active NPI

University of Wisconsin System Non Payroll

Doing business as UW - La Crosse Student Health Center

  • Clinic/Center
  • La Crosse, WI
National Provider Identifier
1063682938
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
28854 Issued in WI
Legal business name
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Doing business as
UW - La Crosse Student Health Center
Practice address
1300 Badger St
Suite 1030
La Crosse, WI 54601-1502
Phone
(608) 785-8558
Fax
(608) 785-8746
NPI assigned
Mar 7, 2008
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Dr. Brian K. Allen, D.O.NPI 1780684118
Title
Director/Physician
Phone
(608) 785-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 28854 WI Primary

Addresses

Primary practice location

1300 Badger St
Suite 1030
La Crosse, WI 54601-1502

Mailing address

1300 Badger St
Suite 1030
La Crosse, WI 54601-1502
Phone (608) 785-8558

Other identifiers 1

IdentifierTypeStateIssuer
31496500MedicaidWI

Other names 1

  • UW - La Crosse Student Health Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0716590Uw la Crosse Student Health Center1300 Badger St, La Crosse, WI 54601ComplianceMay 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Center for Communicativ25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

1300 Badger St
Ste 1030
La Crosse, WI 54601
Phone (608) 785-8558

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1063682938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BADGER ST",
            "address_2": "SUITE 1030",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011502",
            "telephone_number": "608-785-8558",
            "fax_number": "608-785-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BADGER ST",
            "address_2": "SUITE 1030",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011502",
            "telephone_number": "608-785-8558",
            "fax_number": "608-785-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "DIRECTOR/PHYSICIAN",
        "authorized_official_telephone_number": "608-785-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "28854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31496500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW - La Crosse Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.