Organization Active NPI

Marshfield Clinic Inc

Doing business as INACTIVE Marshfield Clinic Pharmacy Minocqua

  • Pharmacy
  • Minocqua, WI
National Provider Identifier
1467085878
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MARSHFIELD CLINIC INC
Doing business as
INACTIVE Marshfield Clinic Pharmacy Minocqua
Practice address
9576 Highway 70
Ste a
Minocqua, WI 54548-9054
Phone
(715) 358-1216
NPI assigned
Feb 14, 2020
Last updated
Nov 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Authorized official

Name
Narayana Murali
Title
Evp - Care Delivery
Phone
(715) 387-5318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

9576 Highway 70
Ste a
Minocqua, WI 54548-9054

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5211

Other names 1

  • INACTIVE Marshfield Clinic Pharmacy Minocqua Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200618000348 WI DME Supplier - Pharmacy 2264345206 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minocqua, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Marshfield Clinic Health System Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1467085878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 HIGHWAY 70",
            "address_2": "STE A",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489054",
            "telephone_number": "715-358-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHFIELD CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
        "enumeration_date": "2020-02-14",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "MURALI",
        "authorized_official_first_name": "NARAYANA",
        "authorized_official_title_or_position": "EVP - CARE DELIVERY",
        "authorized_official_telephone_number": "715-387-5318"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INACTIVE Marshfield Clinic Pharmacy Minocqua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.