NPIMap

Organization Active NPI

Medical Services, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Hayward, WI
National Provider Identifier
1710993167
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
1040 Issued in WI
Legal business name
MEDICAL SERVICES, INC
Practice address
11040 N State Road 77
Hayward, WI 54843-6391
Phone
(715) 934-4321
Fax
(715) 934-4379
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Luke Beirl
Title
Ceo
Phone
(715) 934-4244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 1040 WI Primary

Addresses

Primary practice location

11040 N State Road 77
Hayward, WI 54843-6391

Mailing address

11040 N State Road 77
Hayward, WI 54843-6391
Phone (715) 934-4321

Other names 1

  • Tamarack Health Hayward Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070523000278 WI Part A Provider - Critical Access Hospital 9436061363 Practice locations: Hayward, WI

Hospital certification: CCN 52Z336

Legal name
MEDICAL SERVICES, INC
Doing business as
TAMARACK HEALTH HAYWARD MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Jun 3, 1985 in WI
Enrollment address
11040N State Road 77
Hayward, WI 54843-6391
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hayward Area Mem Hosp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Garrett Individual Corporate Director Jul 27, 2016
Kylah Eckes Individual Corporate Director Apr 1, 2023
Benjamin Forbes Turner Individual Corporate DirectorBoard Member Apr 1, 2022
Stacey McKinney Individual Corporate Director Apr 1, 2023
Dodson W Thompson Individual Corporate DirectorBoard Member Apr 1, 2022
Heather Sheehan Individual W-2 Managing EmployeeVP Senior Services Aug 27, 2007
Mary Theresa Hansen Individual Corporate Director Apr 1, 2021
Gregg Lundberg Individual Corporate Director Mar 1, 2022
Richard Augustine Hoban Individual Corporate Director Jan 1, 2020
Jason Douglas Individual Corporate Director Sep 1, 2013
Harry D Malcolm Individual Corporate DirectorBoard Member Apr 1, 2009
Edward H. Wolf Individual Corporate Director May 1, 2022
Luke Daniel Beirl Individual Corporate DirectorCeo Apr 11, 2018
John Will Individual Corporate Director Apr 1, 2023
Regional Enterprises Inc Organization, Ashland, WI Non-profit Operational/Managerial Control Jul 31, 1986

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1710993167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436391",
            "telephone_number": "715-934-4321",
            "fax_number": "715-634-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548436391",
            "telephone_number": "715-934-4321",
            "fax_number": "715-934-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "BEIRL",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-934-4244"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "WI",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tamarack Health Hayward Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.