Organization Active NPI

Scenic Bluffs Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sparta, WI
National Provider Identifier
1689036865
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SCENIC BLUFFS HEALTH CENTER, INC.
Doing business as
Scenic Bluffs Community Health Centers
Practice address
201 E Franklin St RM B3
Sparta, WI 54656-1803
Phone
(608) 654-5100
Fax
(608) 654-5120
NPI assigned
Mar 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Mrs. Mari Rose Freiberg
Title
Director
Phone
(608) 654-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

201 E Franklin St RM B3
Sparta, WI 54656-1803

Mailing address

PO Box 39
Cashton, WI 54619-0039
Phone (608) 654-5100

Other names 1

  • Scenic Bluffs Community Health Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scenic Bluffs Health Center24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1689036865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546190039",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E FRANKLIN ST RM B3",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546561803",
            "telephone_number": "608-654-5100",
            "fax_number": "608-654-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC BLUFFS HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "FREIBERG",
        "authorized_official_first_name": "MARI",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-654-5100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic Bluffs Community Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scenic Bluffs Community Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.