NPIMap

Organization Active NPI

Westfields Hospital, Inc.

Doing business as The Clinic at Walmart Westfields Hospital HealthStation

  • Nurse Practitioner
  • New Richmond, WI
National Provider Identifier
1205166998
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WESTFIELDS HOSPITAL, INC.
Doing business as
The Clinic at Walmart Westfields Hospital HealthStation
Practice address
250 Richmond Way
New Richmond, WI 54017-6829
Phone
(715) 243-2600
Fax
(715) 243-2786
NPI assigned
Jan 4, 2010
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Jason J. Luhrs
Title
Cfo
Phone
(715) 243-2852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1050 WI
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X WI Primary

Addresses

Primary practice location

250 Richmond Way
New Richmond, WI 54017-6829

Mailing address

535 Hospital Road
New Richmond, WI 54017-1449
Phone (715) 243-2600

Other names 1

  • The Clinic at Walmart Westfields Hospital HealthStation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000350 WI Part B Supplier - Clinic/Group Practice 2264490960 Receives reassigned benefits from 390 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Richmond, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 96

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.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1205166998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 HOSPITAL ROAD",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171449",
            "telephone_number": "715-243-2600",
            "fax_number": "715-243-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RICHMOND WAY",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540176829",
            "telephone_number": "715-243-2600",
            "fax_number": "715-243-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFIELDS HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "LUHRS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-243-2852"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "1050",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Clinic at Walmart Westfields Hospital HealthStation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.