Organization Active NPI

Security Health Plan of Wisconsin, Inc

  • Health Maintenance Organization
  • Marshfield, WI
National Provider Identifier
1275898843
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
96881(NAIC) Issued in WI
Legal business name
SECURITY HEALTH PLAN OF WISCONSIN, INC
Practice address
1515 N Saint Joseph Avenue
Marshfield, WI 54449-8000
Phone
(715) 221-9555
Fax
(715) 221-9500
NPI assigned
Jul 10, 2012
Organization subpart
Yes
Parent organization
MARSHFIELD CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Krista M Hoglund
Title
Ceo
Phone
(715) 221-9485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 96881(NAIC) WI Primary

Addresses

Primary practice location

1515 N Saint Joseph Avenue
Marshfield, WI 54449-8000

Mailing address

P.O. Box 8000
1515 N Saint Joseph Avenue
Marshfield, WI 54449-8000
Phone (715) 221-9555

National Provider Directory

National Provider Directory
Part of
Marshfield Clinic Rvrvw

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1275898843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8000",
            "address_2": "1515 N SAINT JOSEPH AVENUE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498000",
            "telephone_number": "715-221-9555",
            "fax_number": "715-221-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N SAINT JOSEPH AVENUE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544498000",
            "telephone_number": "715-221-9555",
            "fax_number": "715-221-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURITY HEALTH PLAN OF WISCONSIN, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC",
        "enumeration_date": "2012-07-10",
        "last_updated": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "HOGLUND",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-221-9485"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "96881(NAIC)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.