Organization Active NPI

Piic Clinical Services, PC

Doing business as Campus Health Center

  • Primary Care Clinic/Center
  • Menasha, WI
National Provider Identifier
1639843121
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PIIC CLINICAL SERVICES, PC
Doing business as
Campus Health Center
NeoPath Brooklyn Center Elementary
Practice address
1477 Kenwood Dr Ste 201
Menasha, WI 54952-1160
Phone
(920) 967-4141
Fax
(833) 972-1585
NPI assigned
Aug 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Alethea Anderson
Title
Care Operations Manager
Phone
(952) 698-9860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1477 Kenwood Dr Ste 201
Menasha, WI 54952-1160

Mailing address

323 Washington Ave N Ste 200
Minneapolis, MN 55401-2206
Phone (952) 698-9860

Other practice location 1

1500 59th Ave N
Brooklyn Center, MN 55430-2614
Phone (952) 698-9860

Other names 2

  • Campus Health Center Doing business as
  • NeoPath Brooklyn Center Elementary Doing business as

National Provider Directory

National Provider Directory

Locations

1500 59th Ave N
Brooklyn Center, MN 55430
Phone (763) 561-4480

323 Washington Ave N
Ste 200
Minneapolis, MN 55401

1477 Kenwood Dr
Ste 201
Menasha, WI 54952
Phone (920) 967-4141

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1639843121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 WASHINGTON AVE N STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012206",
            "telephone_number": "952-698-9860",
            "fax_number": "612-930-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 KENWOOD DR STE 201",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521160",
            "telephone_number": "920-967-4141",
            "fax_number": "833-972-1585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 59th Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302614",
            "country_code": "US",
            "telephone_number": "952-698-9860",
            "fax_number": "866-470-1873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIIC CLINICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-03-20",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "CARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-698-9860"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NeoPath Brooklyn Center Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menasha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.