Main Street Quarters

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

110279 Issued in WI

Legal business name

MAIN STREET QUARTERS

Practice address

354 N Main St
Oregon, WI 53575-1426

Phone

(608) 835-3535

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Rick Scollon

Title

Administrator

Phone

(608) 835-3535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1154567469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 N MAIN ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 N MAIN ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751426",
            "telephone_number": "608-835-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET QUARTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "SCOLLON",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "608-835-3535"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "110279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Lea
• Mary K Lease, RN
• Christian Light
• David Lippman
• Jane E Mahoney, MD
• Joel David Malak, RN, APNP
• Tammy Dee Mandarino, D.D.S.
• Rebecca McCabe
• Mark A McCann, DC
• Brian P McComb, PA-C

• Assisted Living Facility in Oregon, WI
• Providers in Oregon, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.