NPIMap

Organization Active NPI

Medical Services, Inc.

Doing business as Tamarack Health Hayward Medical Center

  • Clinical Medical Laboratory
  • Hayward, WI
National Provider Identifier
1447424270
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1040 Issued in WI
Legal business name
MEDICAL SERVICES, INC.
Doing business as
Tamarack Health Hayward Medical Center
Practice address
11040 N State Road 77
Hayward, WI 54843-6391
Phone
(715) 934-4321
Fax
(715) 934-4379
NPI assigned
Apr 14, 2008
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Luke Beirl
Title
Ceo
Phone
(715) 934-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1040 WI Primary

Addresses

Primary practice location

11040 N State Road 77
Hayward, WI 54843-6391

Mailing address

11040 N State Road 77
Hayward, WI 54843-6391
Phone (715) 934-4321

Other identifiers 1

IdentifierTypeStateIssuer
32945600MedicaidWI

Other names 1

  • Tamarack Health Hayward Medical Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0662126Tamarack Health11040 N State Rd 77, Hayward, WI 54843AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hayward Area Memorial H5 organizations share this tax ID, including this one
Part of
Hayward Area Memorial H

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1447424270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436391",
            "telephone_number": "715-934-4321",
            "fax_number": "715-934-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436391",
            "telephone_number": "715-934-4321",
            "fax_number": "715-934-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL SERVICES, INC.",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BEIRL",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-934-4244"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WI",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32945600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamarack Health Hayward Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.