NPIMap

Organization Active NPI

Stockbridge-Munsee Health and Wellness Center

  • Primary Care Clinic/Center
  • Bowler, WI
National Provider Identifier
1659767382
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STOCKBRIDGE-MUNSEE HEALTH AND WELLNESS CENTER
Practice address
W12802 County Highway a
Bowler, WI 54416
Phone
(715) 793-4144
Fax
(715) 793-4120
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Brock Schreiber
Title
Quality Assucance Manager
Phone
(715) 793-5054

Specialties & licenses 1

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

Addresses

Primary practice location

W12802 County Highway a
Bowler, WI 54416

Mailing address

W12802 County Highway a
PO Box 86
Bowler, WI 54416

National Provider Directory

National Provider Directory
Tax ID family
Stockbridge Munsee Community3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1659767382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W12802 COUNTY HIGHWAY A",
            "address_2": "PO BOX 86",
            "city": "BOWLER",
            "state": "WI",
            "postal_code": "54416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W12802 COUNTY HIGHWAY A",
            "city": "BOWLER",
            "state": "WI",
            "postal_code": "54416",
            "telephone_number": "715-793-4144",
            "fax_number": "715-793-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKBRIDGE-MUNSEE HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "BROCK",
        "authorized_official_title_or_position": "QUALITY ASSUCANCE MANAGER",
        "authorized_official_telephone_number": "715-793-5054"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowler, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.