Park Falls Regional Medical Clinic, S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PARK FALLS REGIONAL MEDICAL CLINIC, S.C.

Practice address

1155 4TH Ave S
Park Falls, WI 54552-1922

Phone

(715) 762-2970

Fax

(715) 762-2975

NPI assigned

Nov 8, 2006

Last updated

Sep 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey S Harrison, M.D.NPI 1427139286

Title

President

Phone

(715) 762-2970

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey S Harrison, MD

  • Family Medicine Physician
  • Park Falls, WI
  • NPI 1427139286
  Authorized official Same address or phone

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1427127745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 4TH AVE S",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521922",
            "telephone_number": "715-762-2970",
            "fax_number": "715-762-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 4TH AVE S",
            "city": "PARK FALLS",
            "state": "WI",
            "postal_code": "545521922",
            "telephone_number": "715-762-2970",
            "fax_number": "715-762-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK FALLS REGIONAL MEDICAL CLINIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-762-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21306000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James William Nesbit, A.T.C./L.A.T.
• Nancy T. Nesbit, DPT, LAT, CSCS
• Latasha Lynn Newbury, OTR/L
• Jane Antoinette Novitzke, APNP, RN, NHA
• Jordan Michael Oien, DC
• Park Manor LTD
• Park Manor, LTD.
• Park Manor, LTD.
• Park Pharmacy Inc (North Central IV)
• Park Pharmacy Inc

• Clinic/Center in Park Falls, WI
• Providers in Park Falls, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.