NPIMap

Organization Active NPI

Great River Community Medical Center, SC

  • Family Medicine Physician
  • Prairie Du Chien, WI
National Provider Identifier
1841464252
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREAT RIVER COMMUNITY MEDICAL CENTER, SC
Practice address
100 N Marquette Rd
Ste. 106
Prairie Du Chien, WI 53821-1513
Phone
(608) 326-5459
NPI assigned
Apr 16, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Mark Grunwald, MDNPI 1336144914
Title
Owner
Phone
(608) 326-5459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

100 N Marquette Rd
Ste. 106
Prairie Du Chien, WI 53821-1513

Mailing address

100 N Marquette Rd
Ste. 106
Prairie Du Chien, WI 53821-1513
Phone (608) 326-5459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1841464252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MARQUETTE RD",
            "address_2": "STE. 106",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211513",
            "telephone_number": "608-326-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MARQUETTE RD",
            "address_2": "STE. 106",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211513",
            "telephone_number": "608-326-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT RIVER COMMUNITY MEDICAL CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "GRUNWALD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-326-5459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.