Organization Active NPI

Hope Clinic and Care Center Inc.

  • Primary Care Clinic/Center
  • Menasha, WI
National Provider Identifier
1255925707
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOPE CLINIC AND CARE CENTER INC.
Practice address
1814 Appleton Rd
Menasha, WI 54952-1110
Phone
(920) 931-1150
Fax
(920) 931-1159
NPI assigned
Feb 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Shelby Miller
Title
Executive Director
Phone
(920) 931-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1814 Appleton Rd
Menasha, WI 54952-1110

Mailing address

1814 Appleton Rd
Menasha, WI 54952-1110
Phone (920) 931-1150

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2102987Hope Clinic and Care Center1814 Appleton Road, Menasha, WI 54952Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17649/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1255925707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 APPLETON RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521110",
            "telephone_number": "920-931-1150",
            "fax_number": "920-931-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 APPLETON RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521110",
            "telephone_number": "920-931-1150",
            "fax_number": "920-931-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CLINIC AND CARE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-931-1151"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.