NPIMap

Organization Active NPI

Family Health Center of Marshfield Inc

Doing business as Family Health Center - Ladysmith Dental Center

  • Federally Qualified Health Center (FQHC)
  • Ladysmith, WI
National Provider Identifier
1386336436
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Doing business as
Family Health Center - Ladysmith Dental Center
Ladysmith Dental Center
Practice address
315 Miner Ave W
Ladysmith, WI 54848-1725
Phone
(715) 532-2500
Fax
(715) 532-9606
NPI assigned
May 25, 2023
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Gregory Nycz
Title
Ceo
Phone
(608) 217-7484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

315 Miner Ave W
Ladysmith, WI 54848-1725

Mailing address

PO Box 7900
Marshfield, WI 54449-7900
Phone (888) 533-2684

Other identifiers 1

IdentifierTypeStateIssuer
100077248MedicaidWI

Other names 2

  • Family Health Center - Ladysmith Dental Center Doing business as
  • Ladysmith Dental Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240419000830 WI Part A Provider - Federally Qualified Health Center (FQHC) 2466540877 Practice locations: Ladysmith, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386336436. Details of each certification follow.

Federally qualified health center certification: CCN 521033

Legal name
FAMILY HEALTH CENTER OF MARSHFIELD INC
Doing business as
LADYSMITH DENTAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 9, 2024
Last certification
Mar 9, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 17, 1990 in WI
Enrollment address
315 Miner Ave W
Ladysmith, WI 54848-1725

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center of Marshfield Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amanda Spindler Individual Corporate OfficerCfo Oct 11, 2010
W-2 Managing EmployeeCfo Oct 11, 2010
Gregory Nycz Individual Corporate OfficerCeo Sep 25, 1972
W-2 Managing EmployeeCeo Sep 25, 1972

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1386336436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7900",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544497900",
            "telephone_number": "888-533-2684",
            "fax_number": "715-502-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MINER AVE W",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548481725",
            "telephone_number": "715-532-2500",
            "fax_number": "715-532-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTER OF MARSHFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "NYCZ",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-217-7484"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100077248",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center - Ladysmith Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ladysmith Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ladysmith, WI

Sources for this page

Verify at the official NPI Registry.