Family Medical Center, SC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FAMILY MEDICAL CENTER, SC

Practice address

246 Tierney Drive
New Richmond, WI 54017-2515

Phone

(715) 246-2521

Fax

(715) 246-7977

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Kruschke

Title

Office Manager

Phone

(715) 246-2521

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Marjorie Jean Belisle, APNP

  • Family Nurse Practitioner
  • Hudson, WI
  • NPI 1336146455
  NPD (past)
• Taylor E Neff, MD

  • Family Medicine Physician
  • New Richmond, WI
  • NPI 1780751834
  NPD (past)
• Tracy A Renn, FNP-BC, ACNS-BC APNP

  • Family Nurse Practitioner
  • New Richmond, WI
  • NPI 1255409546
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760574933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 TIERNEY DRIVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172515",
            "telephone_number": "715-246-2521",
            "fax_number": "715-246-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 TIERNEY DRIVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172515",
            "telephone_number": "715-246-2521",
            "fax_number": "715-246-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUSCHKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-246-2521"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MINNESOTA",
            "identifier": "641K0FA",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Eyecare, LLC
• Every Voice Matters Speech and Feeding Therapy LLC
• Judith Ann Fall, OTR/L
• Amber E Falls, CSAC
• Family Dentistry SC
• Family Therapy Associates, LLC
• Nicole Beverly Feser, DNP, CNP
• Aimee Flatten, OTA
• Nicholas Dean Flier, LPCC
• Forefront Dermatology, S.C.

• Clinic/Center in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.