NPIMap

Organization Active NPI

Family Health Center of Marshfield Inc

  • Federally Qualified Health Center (FQHC)
  • Black River Falls, WI
National Provider Identifier
1285325811
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Practice address
N6571 Lumberjack Guy Rd
Black River Falls, WI 54615-5405
Phone
(715) 670-0400
Fax
(715) 670-0700
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Gregory Nycz
Title
Ceo
Phone
(608) 217-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

N6571 Lumberjack Guy Rd
Black River Falls, WI 54615-5405

Mailing address

PO Box 18298
Palatine, IL 60055-9298
Phone (888) 533-2684

Other identifiers 1

IdentifierTypeStateIssuer
100077251MedicaidWI

Other names 2

  • Black River Falls Dental Center Doing business as
  • Family Health Center - Black River Falls Dental Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416000770 WI Part A Provider - Federally Qualified Health Center (FQHC) 2466540877 Practice locations: Black River Falls, WI

Federally qualified health center certification: CCN 521037

Legal name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Doing business as
BLACK RIVER FALLS DENTAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 8, 2024
Last certification
Apr 8, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 1990 in WI
Enrollment address
N6571 Lumberjack Guy Rd
Black River Falls, WI 54615-5405

Other NPIs with the same Medicare PAC ID 14

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

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center of Marshfield Inc24 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

Locations

N6571 Lumberjack Guy Rd
Black River Falls, WI 54615
Phone (715) 650-0443

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Amanda Spindler Individual Corporate OfficerCfo Oct 11, 2010
W-2 Managing EmployeeCfo Oct 11, 2010
Gregory Nycz Individual Corporate OfficerCeo Sep 25, 1972
Corporate DirectorCeo Sep 25, 1972

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1285325811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18298",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600559298",
            "telephone_number": "888-533-2684",
            "fax_number": "715-502-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6571 LUMBERJACK GUY RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155405",
            "telephone_number": "715-670-0400",
            "fax_number": "715-670-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF MARSHFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "NYCZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-217-7484"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100077251",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black River Falls Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health Center - Black River Falls Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.