Organization Active NPI

Marshfield Care Center LLC

  • Skilled Nursing Facility
  • Marshfield, WI
National Provider Identifier
1073506242
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3081 Issued in WI
Legal business name
MARSHFIELD CARE CENTER LLC
Doing business as
D/B/A ATRIUM POST ACUTE CARE OF MARSHFIELD
Practice address
814 W 14TH St
Marshfield, WI 54449-4030
Phone
(715) 387-1188
Fax
(715) 387-4095
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Robert M Parkins
Title
Cfo
Phone
(920) 364-9754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3081 WI Primary

Addresses

Primary practice location

814 W 14TH St
Marshfield, WI 54449-4030

Mailing address

1726 N Ballard Rd
Appleton, WI 54911-2444
Phone (920) 991-9072

Other identifiers 1

IdentifierTypeStateIssuer
20193900MedicaidWI

Other names 1

  • D/B/A ATRIUM POST ACUTE CARE OF MARSHFIELD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1073506242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 N BALLARD RD",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112444",
            "telephone_number": "920-991-9072",
            "fax_number": "920-749-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W 14TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494030",
            "telephone_number": "715-387-1188",
            "fax_number": "715-387-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHFIELD CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "PARKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-364-9754"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "3081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20193900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A ATRIUM POST ACUTE CARE OF MARSHFIELD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.