NPIMap

Organization Active NPI

Edgerton Hospital and Health Services

  • Primary Care Clinic/Center
  • Whitewater, WI
National Provider Identifier
1487346557
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EDGERTON HOSPITAL AND HEALTH SERVICES
Practice address
757 E Milwaukee St
Whitewater, WI 53190-2153
Phone
(608) 884-1609
Fax
(608) 884-1609
NPI assigned
May 25, 2023
Last updated
May 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Charles Roeder
Title
Cfo
Phone
(608) 884-3441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

757 E Milwaukee St
Whitewater, WI 53190-2153

Mailing address

11101 N Sherman Rd
Edgerton, WI 53534-9002
Phone (608) 884-3441

Other names 1

  • Edgerton Hospital and Health Services, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
Edgertonmilton Clinics13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1487346557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 N SHERMAN RD",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535349002",
            "telephone_number": "608-884-3441",
            "fax_number": "608-884-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E MILWAUKEE ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531902153",
            "telephone_number": "608-884-1609",
            "fax_number": "608-884-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGERTON HOSPITAL AND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "608-884-3441"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgerton Hospital and Health Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitewater, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.