Active NPI
Dickinson County Healthcare System
- Rural Health Clinic/Center
- Wausaukee, WI
National Provider Identifier
1699719310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- DICKINSON COUNTY HEALTHCARE SYSTEM
- Practice address
- 536 Kenny Dr
Wausaukee, WI 54177-9627 - Phone
- (877) 770-6983
- Fax
- (715) 856-6985
- NPI assigned
- Jun 15, 2006
- Organization subpart
- Yes
- Parent organization
- MARSHFIELD CLINIC HEALTH SYSTEM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Nelson
- Title
- Ceo
- Phone
- (906) 776-5500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
536 Kenny Dr
Wausaukee, WI 54177-9627
Mailing address
1000 N Oak Ave
Attn: Provider Enrollment Services - SHP FL 2
Marshfield, WI 54449-5703
Phone (715) 389-0660
Other names 1
- (INACTIVE) Wausaukee Medical Center
National Provider Directory
National Provider Directory- Part of
- Marshfield Clinic Health System Inc
Ownership & related parties
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.
-
- Family Nurse Practitioner
- Stevens Point, WI
- NPI 1629806336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655337600000",
"number": "1699719310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"address_2": "ATTN: PROVIDER ENROLLMENT SERVICES - SHP FL 2",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-389-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 KENNY DR",
"city": "WAUSAUKEE",
"state": "WI",
"postal_code": "541779627",
"telephone_number": "877-770-6983",
"fax_number": "715-856-6985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DICKINSON COUNTY HEALTHCARE SYSTEM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
"enumeration_date": "2006-06-15",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "906-776-5500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "(INACTIVE) Wausaukee Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wausaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.