NPIMap

Organization Active NPI

Sacred Heart Hospital of the Hospital Sisters of the 3Rd Order of St F

  • Physical Therapy Clinic/Center
  • Eau Claire, WI
National Provider Identifier
1285170308
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
17 Issued in WI
Legal business name
SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST F
Practice address
1109 W Clairemont Ave
Eau Claire, WI 54701-6105
Phone
(715) 717-4121
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Mr. Andrew Bagnall
Title
President
Phone
(715) 717-4027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 17 WI Primary

Addresses

Primary practice location

1109 W Clairemont Ave
Eau Claire, WI 54701-6105

Mailing address

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 717-4121

Other names 1

  • HSHS Sacred Heart Outpatient Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart Hospital of the Hospital Sisters -3Rd Order of St19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1285170308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016122",
            "telephone_number": "715-717-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016105",
            "telephone_number": "715-717-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST F",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "BAGNALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-717-4027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HSHS Sacred Heart Outpatient Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HSHS Sacred Heart Outpatient Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.