NPIMap

Organization Active NPI

Hudson Physicians, S.C.

  • Clinic/Center
  • Hudson, WI
National Provider Identifier
1316102734
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HUDSON PHYSICIANS, S.C.
Practice address
2310 Crestview Dr
Hudson, WI 54016-9315
Phone
(715) 531-6802
Fax
(715) 531-6803
NPI assigned
Jul 24, 2008
Organization subpart
Yes
Parent organization
HUDSON PHYSICIANS, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Geri T House
Title
Credentialing Coordinator Admin
Phone
(715) 531-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X WI Primary

Addresses

Primary practice location

2310 Crestview Dr
Hudson, WI 54016-9315

Mailing address

403 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6800

Other identifiers 2

IdentifierTypeStateIssuer
32723100MedicaidWI
000056125OtherWIMEDICARE

Other names 1

  • Hudson Physicians Quick Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131031000204 WI Part B Supplier - Clinic/Group Practice 2668607557 Receives reassigned benefits from 79 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Richmond, WI; Hudson, WI; Baldwin, WI

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hudson Physicians SC8 organizations share this tax ID, including this one
Part of
Hudson Physicians SC

Other organizations with this tax ID 7

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

Locations

5715 Memorial Ave N
Ste 200
Stillwater, MN 55082
Phone (651) 366-6800

525 N Knowles Ave
#100
New Richmond, WI 54017

Practitioners 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1316102734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167848",
            "telephone_number": "715-531-6800",
            "fax_number": "715-531-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CRESTVIEW DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540169315",
            "telephone_number": "715-531-6802",
            "fax_number": "715-531-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON PHYSICIANS, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUDSON PHYSICIANS, S.C.",
        "enumeration_date": "2008-07-24",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "GERI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR ADMIN",
        "authorized_official_telephone_number": "715-531-6060"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32723100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000056125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Physicians Quick Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.