Organization Active NPI

Mineral Point Medical Center SC

  • Family Medicine Physician
  • Dodgeville, WI
National Provider Identifier
1497834550
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MINERAL POINT MEDICAL CENTER SC
Doing business as
Dodgeville Medical Center
Practice address
1204 Joseph St
Dodgeville, WI 53533-9670
Phone
(608) 935-2308
Fax
(608) 935-2644
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Ms. Chris Slaney
Title
Credentialing Dept
Phone
(608) 987-2346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1204 Joseph St
Dodgeville, WI 53533-9670

Mailing address

104 High St
Mineral Point, WI 53565-1289
Phone (608) 987-2346

Other identifiers 1

IdentifierTypeStateIssuer
41872200MedicaidWI

Other names 1

  • Dodgeville Medical Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1497834550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HIGH ST",
            "city": "MINERAL POINT",
            "state": "WI",
            "postal_code": "535651289",
            "telephone_number": "608-987-2346",
            "fax_number": "608-987-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 JOSEPH ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535339670",
            "telephone_number": "608-935-2308",
            "fax_number": "608-935-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL POINT MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "SLANEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CREDENTIALING DEPT",
        "authorized_official_telephone_number": "608-987-2346",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41872200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dodgeville Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.