NPIMap

Organization Active NPI

University of Wisconsin System Non Payroll

Doing business as UW-Stevens Point Health Service Pharmacy

  • Student Health Clinic/Center
  • Stevens Point, WI
National Provider Identifier
1487849055
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
1006-042 Issued in WI
Legal business name
UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
Doing business as
UW-Stevens Point Health Service Pharmacy
Practice address
910 Fremont St
Stevens Point, WI 54481-3105
Phone
(715) 346-4646
Fax
(715) 346-4752
NPI assigned
Sep 7, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Gerhard W Hettler III, M.D.NPI 1295886836
Title
Director
Phone
(715) 346-4646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 1006-042 WI Primary

Addresses

Primary practice location

910 Fremont St
Stevens Point, WI 54481-3105

Mailing address

910 Fremont St
Stevens Point, WI 54481-3105
Phone (715) 346-4646

Other identifiers 1

IdentifierTypeStateIssuer
33278000MedicaidWI

Other names 1

  • UW-Stevens Point Health Service Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Wisconsin25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

910 Fremont St
Stevens Point, WI 54481
Phone (715) 346-4294

Practitioners & affiliated clinicians

Practitioners 12

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": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1487849055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 FREMONT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813105",
            "telephone_number": "715-346-4646",
            "fax_number": "715-346-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 FREMONT ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544813105",
            "telephone_number": "715-346-4646",
            "fax_number": "715-346-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "HETTLER",
        "authorized_official_first_name": "GERHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-346-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "WI",
            "license": "1006-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33278000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW-Stevens Point Health Service Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.