Lakeview Medical Center Inc of Rice Lake

Organization Active NPI Clinic/Center · Chetek, WI

NPI 1659008605 · NPPES record last updated Aug 1, 2022

Key facts

NPI
1659008605
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
LAKEVIEW MEDICAL CENTER INC OF RICE LAKE
Practice address
806 2ND St
Chetek, WI 54728-2800
Phone
(715) 924-2000
NPI assigned
Aug 1, 2022
Organization subpart
Yes
Parent organization (as reported)
MARSHFIELD CLINIC HEALTH SYSTEM INC

Authorized official

Name
Catherine M Bukowski
Title
VP of Finance/Cfo Finance/Ao
Phone
(715) 387-9370

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.

Other NPIs on the same Medicare enrollment 3

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

Corporate family (same tax ID) 15

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

Practitioners 263

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 263

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180817001484 WI Part B Supplier - Clinic/Group Practice 6103737820 Receives reassigned benefits from 1,704 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Lakeview Medical Center (16 organizations share this tax ID)
Part of
Marshfield Clinic Health System Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

806 2ND St
Chetek, WI 54728-2800

Mailing address

1700 W Stout St
Rice Lake, WI 54868-5000

Other names

  • LMC Inc of Rice Lake Freestanding Clinics Doing business as

Other providers in Chetek, WI

All providers in Chetek, WI · Clinic/Center in Wisconsin

Sources for this page

Verify at the official NPI Registry.