NPIMap

Organization Active NPI

Mile Bluff Medical Center Inc

Doing business as Fair View Nursing Home

  • Skilled Nursing Facility
  • Mauston, WI
National Provider Identifier
1255350575
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2650 Issued in WI
Legal business name
MILE BLUFF MEDICAL CENTER INC
Doing business as
Fair View Nursing Home
Practice address
1050 Division St
Mauston, WI 53948-1931
Phone
(608) 847-6161
Fax
(608) 847-2079
NPI assigned
Jul 18, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MILE BLUFF MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Thomas Kaminski
Title
VP/Cfo
Phone
(608) 847-1452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2650 WI Primary

Addresses

Primary practice location

1050 Division St
Mauston, WI 53948-1931

Mailing address

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

Other identifiers 1

IdentifierTypeStateIssuer
20131600MedicaidWI

Other names 1

  • Fair View Nursing Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080702000594 WI Part A Provider - Skilled Nursing Facility 8527971399 Practice locations: Mauston, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255350575. Details of each certification follow.

Skilled nursing facility certification: CCN 525437

Legal name
MILE BLUFF MEDICAL CENTER INC
Doing business as
FAIR VIEW NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1989
Last certification
Dec 5, 2024
Beds
50
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Mile Bluff Medical Center
Organization structure
CorporationNon-profit
Incorporated
Apr 4, 1962 in WI
Enrollment address
1050 Division St
Mauston, WI 53948-1931
Nursing home name
FAIR VIEW NURSING AND REHABILITATION CENTER

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fair View Nursing and Rehabilitation CenterCCN 525437 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Oct 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5042.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Hess Memorial Hospital10 organizations share this tax ID, including this one
Part of
Hess Memorial Hospital

Other organizations with this tax ID 9

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel W Kattenbraker Individual Corporate DirectorMD and Board Member Feb 1, 2010
Angela M Gatzke Plamann Individual Corporate DirectorChief of Staff / Board Member Feb 1, 2019
Ann H Hoffman Individual Corporate DirectorMD and Board Member Jan 1, 2013
Dara Beth Bartels Individual Corporate DirectorCeo Dec 2, 2021
W-2 Managing EmployeeCeo Dec 2, 2021
James M Okeefe Individual Corporate OfficerCeo Dec 1, 2005 100%
W-2 Managing Employee Jun 9, 2008
Larry J Willer Individual Corporate DirectorBoard Chair May 1, 2007
Dennis D Loging Individual Corporate DirectorBoard Member Mar 1, 2016
Cassondra L Kovach Individual Corporate DirectorBoard Member / MD Jan 1, 2013
Sandy R Linsmeyer Individual Corporate DirectorBoard Vice Chair Dec 1, 2004
Randy C Scott Individual Corporate DirectorBoard Secretary May 1, 2013
Arianne Leski Individual Corporate DirectorAdministrator Jan 1, 2023
W-2 Managing EmployeeAdministrator Jan 1, 2023
Lori Murphy Individual Corporate DirectorBoard Member Feb 1, 2019
Robert C Buss Individual Corporate DirectorBoard Member / MD Feb 1, 2018

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1255350575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-6161",
            "fax_number": "608-847-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-6161",
            "fax_number": "608-847-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE BLUFF MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILE BLUFF MEDICAL CENTER INC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "KAMINSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "608-847-1452"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20131600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fair View Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mauston, WI

Sources for this page

Verify at the official NPI Registry.