Organization Active NPI

Niagara Health Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Niagara, WI
National Provider Identifier
1699745067
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NIAGARA HEALTH CENTER, INC
Practice address
1601 Roosevelt Rd
Niagara, WI 54151-1043
Phone
(715) 251-1780
Fax
(715) 251-1787
NPI assigned
Jan 26, 2006
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Dr. Francoise Singh, MD
Title
Chief Operating Officer
Phone
(715) 251-1780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

1601 Roosevelt Rd
Niagara, WI 54151-1043

Mailing address

1601 Roosevelt Rd
PO Box 6
Niagara, WI 54151-1043
Phone (715) 251-1780

Other identifiers 3

IdentifierTypeStateIssuer
41909700MedicaidWI
490003352OtherRAILROAD MEDICARE
03895OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081028000029 WI Part B Supplier - Ambulatory Surgical Center 5890853337 Practice locations: Niagara, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699745067. Details of each certification follow.

Ambulatory surgical center certification: CCN 52C0001029

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NIAGARA HEALTH CTR
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Apr 9, 1997
Last certification
May 23, 2017
Ownership / control type
Proprietary
Facility address
1601 Roosevelt Rd
Niagara, WI 54151

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0948971Niagara Health Center1601 Roosevelt Rd, Niagara, WI 54151Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1699745067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "address_2": "PO BOX 6",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "715-251-1780",
            "fax_number": "715-251-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ROOSEVELT RD",
            "city": "NIAGARA",
            "state": "WI",
            "postal_code": "541511043",
            "telephone_number": "715-251-1780",
            "fax_number": "715-251-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "FRANCOISE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "715-251-1780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41909700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490003352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03895",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara, WI

Sources for this page

Verify at the official NPI Registry.