Scenic Bluffs Health Center, Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SCENIC BLUFFS HEALTH CENTER, INC

Practice address

201 E Franklin St # B3
Sparta, WI 54656-1803

Phone

(608) 654-5100

NPI assigned

Sep 25, 2014

Organization subpart

Yes

Parent organization

SCENIC BLUFFS HEALTH CENTER, INCAs reported in NPPES

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

Authorized official

Name

Mari Freiberg

Title

Executive Director

Phone

(608) 654-5100

Specialties & licenses 1

Addresses

Part of

Scenic Bluffs Health Center

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1366844003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546190039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E FRANKLIN ST # B3",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561803",
            "telephone_number": "608-654-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC BLUFFS HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCENIC BLUFFS HEALTH CENTER, INC",
        "enumeration_date": "2014-09-25",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "FREIBERG",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "608-654-5100"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter G Roode, MD
• Connor Rumpca
• Shannon Leah Rutz, MPT
• Paul Andrew Ryan, RN
• Jackie M Sands, OTR
• Scenic Bluffs Health Center, Inc.
• Scenic Bluffs Health Center, Inc.
• Emily Schaldach, MT
• Susette Marie Schmidt, R.N.
• Kristen K Schmitz, PTA

• Federally Qualified Health Center (FQHC) in Sparta, WI
• Providers in Sparta, WI by specialty
• Federally Qualified Health Center (FQHC) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.