NPIMap

Organization Active NPI

Watertown Regional Medical Center Inc

Doing business as UWHP Watertown Regional Medical Center Rehab & Sports Medicine

  • Rehabilitation Clinic/Center
  • Watertown, WI
National Provider Identifier
1194938977
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER INC
Doing business as
UWHP Watertown Regional Medical Center Rehab & Sports Medicine
Practice address
1684 S Church St
Watertown, WI 53094-6406
Phone
(920) 262-4220
NPI assigned
May 8, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Robert James Kluge
Title
Patient Accounts Manager
Phone
(920) 262-4784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X WI Primary

Addresses

Primary practice location

1684 S Church St
Watertown, WI 53094-6406

Mailing address

125 Hospital Dr
Watertown, WI 53098-3303
Phone (920) 262-4784

Other names 1

  • UWHP Watertown Regional Medical Center Rehab & Sports Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Watertown Medmorial HSP4 organizations share this tax ID, including this one
Part of
Watertown Medmorial HSP

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194938977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530983303",
            "telephone_number": "920-262-4784",
            "fax_number": "920-262-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 S CHURCH ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530946406",
            "telephone_number": "920-262-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WATERTOWN REGIONAL MEDICAL CENTER INC",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLUGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "920-262-4784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UWHP Watertown Regional Medical Center Rehab & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.