Organization Active NPI

Group Health Cooperative of Eau Claire

  • Health Maintenance Organization
  • Altoona, WI
National Provider Identifier
1295800738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
GROUP HEALTH COOPERATIVE OF EAU CLAIRE
Practice address
2503 N Hillcrest Pkwy
Altoona, WI 54720-2569
Phone
(715) 552-4300
Fax
(715) 836-7683
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Farrow
Title
General Manager
Phone
(715) 552-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

2503 N Hillcrest Pkwy
Altoona, WI 54720-2569

Mailing address

2503 N Hillcrest Pkwy
Altoona, WI 54720-2569

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
52D2068395Group Health Cooperative of Eau Claire2503 N Hillcrest Pkwy, Altoona, WI 54720Certificate of waiverNov 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Group Health Cooperative of Eau Claire2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295800738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 N HILLCREST PKWY",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202569",
            "fax_number": "715-836-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 N HILLCREST PKWY",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202569",
            "telephone_number": "715-552-4300",
            "fax_number": "715-836-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP HEALTH COOPERATIVE OF EAU CLAIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "715-552-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.