NPIMap

Organization Active NPI

Family Health Center of Marshfield Inc

  • Federally Qualified Health Center (FQHC)
  • Chippewa Falls, WI
National Provider Identifier
1295427342
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
850 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone
(715) 738-2000
Fax
(715) 726-9783
NPI assigned
May 25, 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

850 Lakeland Dr
Chippewa Falls, WI 54729-1687

Mailing address

PO Box 18298
Palatine, IL 60055-8298
Phone (888) 533-2684

Other identifiers 1

IdentifierTypeStateIssuer
100038688MedicaidWI

Other names 2

  • Chippewa Falls Dental Center Doing business as
  • Family Health Center - Chippewa 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
O20230710001198 WI Part A Provider - Federally Qualified Health Center (FQHC) 2466540877 Practice locations: Chippewa Falls, WI

Federally qualified health center certification: CCN 521022

Legal name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Doing business as
CHIPPEWA FALLS DENTAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 21, 2023
Last certification
Sep 21, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 24, 1995 in WI
Enrollment address
850 Lakeland Dr
Chippewa Falls, WI 54729-1687

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

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
52D2111015Family Health Center Dental850 Lakeland Dr, Chippewa Falls, WI 54729Certificate of waiverMar 28, 2028

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

850 Lakeland Dr
Chippewa Fls, WI 54729
Phone (715) 738-2000

Ownership & related parties

All disclosed owners & managing parties 7

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
Ronda L Kopelke Individual Corporate DirectorBoard Vice President Feb 26, 2018
Cindy S Koch Individual Corporate DirectorBoard Secretary Jan 25, 2021
Gregory Nycz Individual Corporate OfficerCeo Sep 25, 1972
W-2 Managing EmployeeCeo Sep 25, 1972
Rita Kirchoff Individual Corporate DirectorBoard Treasurer Feb 24, 2020
Mary Dorsch Individual Corporate OfficerCoo Oct 11, 2010
W-2 Managing EmployeeCoo Oct 11, 2010
Anton J Ziesler Individual Corporate DirectorBoard President Dec 1, 2015

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1295427342",
    "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": "600558298",
            "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": "850 LAKELAND DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291687",
            "telephone_number": "715-738-2000",
            "fax_number": "715-726-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF MARSHFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "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": "100038688",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa Falls Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health Center - Chippewa Falls Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.