Mineral Point Medial Center S.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

855-023 Issued in WI

Legal business name

MINERAL POINT MEDIAL CENTER S.C.

Practice address

104 High St
Mineral Point, WI 53565-1289

Phone

(608) 987-2346

Fax

(608) 987-2490

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Jean M Tobin, PAC

Title

Pac

Phone

(608) 987-2346

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215958137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651289",
            "telephone_number": "608-987-2346",
            "fax_number": "608-987-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651289",
            "telephone_number": "608-987-2346",
            "fax_number": "608-987-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL POINT MEDIAL CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PAC",
        "authorized_official_telephone_number": "608-987-2346",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "855-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne A Lindsey, RN, BSN
• Jan Mailloux, PA-C
• Robert Matthew, MD
• Mineral Point Care Center LLC
• Mineral Point Family Dentistry, LLC
• Mineral Point Medical Center SC
• Mineral Point Rescue Squad, Inc.
• Mineral Point Unified School District
• Audrey Moellers, LPN
• Tammy Nelson-Bennett, RDH

• Medical Physician Assistant in Mineral Point, WI
• Providers in Mineral Point, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.