Northreach Healthcare, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

NORTHREACH HEALTHCARE, LLC

Practice address

441 French St
Peshtigo, WI 54157-1203

Phone

(715) 582-9949

Fax

(715) 582-4464

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Carol Hipke

Title

Director of Business Services

Phone

(715) 732-2078

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Peshtigo Family Practice Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1710039318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 FRENCH ST",
            "city": "PESHTIGO",
            "state": "WI",
            "postal_code": "541571203",
            "telephone_number": "715-582-9949",
            "fax_number": "715-582-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHREACH HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "HIPKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "715-732-2078"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "4825080006",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peshtigo Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie McGlin, COTA
• Karie Meeks, RN
• Boyana B Mercer, PTA
• Calvin D Nogler, MD
• Northreach Healthcare LLC
• Oconto Hospital & Medical Center, Inc.
• Oconto Hospital & Medical Center, Inc.
• Cami Rose Olson, PTA
• Walid Omer, M.D
• Anna Jo Oninski, OTA

• Rural Health Clinic/Center in Peshtigo, WI
• Providers in Peshtigo, WI by specialty
• Rural Health Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.