Active NPI
Riverview Cancer Center, Inc.
- Oncology Clinic/Center
- Wisconsin Rapids, WI
National Provider Identifier
1366460305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Clinic/Center
- Legal business name
- RIVERVIEW CANCER CENTER, INC.
- Practice address
- 410 Dewey Street
Wisconsin Rapids, WI 54494 - Phone
- (715) 421-7442
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Celse Berard
- Title
- President
- Phone
- (715) 423-6060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Clinic/Center | 261QX0200X | Primary |
Addresses
Primary practice location
410 Dewey Street
Wisconsin Rapids, WI 54494
Mailing address
1015 Angelus Dr
Nekoosa, WI 54457-1617
Phone (715) 886-3175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21260300 | Medicaid | WI |
Other names 1
- UW Cancer Center Riverview
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366460305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 ANGELUS DR",
"city": "NEKOOSA",
"state": "WI",
"postal_code": "544571617",
"telephone_number": "715-886-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 DEWEY STREET",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "54494",
"telephone_number": "715-421-7442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERVIEW CANCER CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERARD",
"authorized_official_first_name": "CELSE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-423-6060",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QX0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "21260300",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UW Cancer Center Riverview",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wisconsin Rapids, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.