Active NPI
Northreach Healthcare, LLC
- Family Medicine Physician
- Marinette, WI
National Provider Identifier
1376680645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTHREACH HEALTHCARE, LLC
- Practice address
- 2720 Cahill Rd
Marinette, WI 54143-3869 - Phone
- (715) 732-0330
- Fax
- (715) 732-9988
- NPI assigned
- Jan 30, 2007
- 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
- Charles P Quartana
- Title
- Ceo
- Phone
- (715) 732-2075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2720 Cahill Rd
Marinette, WI 54143-3869
Mailing address
2720 Cahill Rd
Marinette, WI 54143-3869
Phone (715) 732-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32894300 | Medicaid | WI |
Other names 1
- Family Doctors of Marinette
National Provider Directory
National Provider DirectoryLocations
2720 Cahill Rd
Marinette, WI 54143
Phone (715) 732-3420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376680645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 CAHILL RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433869",
"telephone_number": "715-732-0330",
"fax_number": "715-732-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 CAHILL RD",
"city": "MARINETTE",
"state": "WI",
"postal_code": "541433869",
"telephone_number": "715-732-0330",
"fax_number": "715-732-9988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHREACH HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "QUARTANA",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "715-732-2075"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32894300",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Doctors of Marinette",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marinette, 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.