NPIMap

Organization Active NPI

Edgewood College Health Services

  • Student Health Clinic/Center
  • Madison, WI
National Provider Identifier
1437604691
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
EDGEWOOD COLLEGE HEALTH SERVICES
Practice address
1000 Edgewood College Dr
Predolin 208
Madison, WI 53711-1997
Phone
(608) 772-3004
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Kimberly A Moreland, RN, APNP
Title
Director, Health Services
Phone
(608) 663-8334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1000 Edgewood College Dr
Predolin 208
Madison, WI 53711-1997

Mailing address

1000 Edgewood College Dr
Madison, WI 53711-1997
Phone (608) 663-8334

National Provider Directory

National Provider Directory
Tax ID family
Edgewood College Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1000 Edgewood College Dr
Madison, WI 53711
Phone (608) 663-3471

1000 Edgewood College Dr
#208
Madison, WI 53711
Phone (608) 772-3004

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1437604691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDGEWOOD COLLEGE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111997",
            "telephone_number": "608-663-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDGEWOOD COLLEGE DR",
            "address_2": "PREDOLIN 208",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111997",
            "telephone_number": "608-772-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD COLLEGE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, HEALTH SERVICES",
        "authorized_official_telephone_number": "608-663-8334",
        "authorized_official_credential": "RN, APNP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.