Integrated Health Care Clinic, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

INTEGRATED HEALTH CARE CLINIC, LLC

Practice address

W236S7050 Big Bend Dr Ste 6
Big Bend, WI 53103-9497

Phone

(262) 436-1340

Fax

(262) 436-9571

NPI assigned

Feb 9, 2011

Last updated

Jun 30, 2022By 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

Mrs. Cynthia Marie Congemi

Title

Business Manager - Co-Owner

Phone

(414) 690-6546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Michael Scott Congemi, ACNP-BC

  • Acute Care Nurse Practitioner
  • Big Bend, WI
  • NPI 1275766420
  Medicare reassignment NPD

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1851697734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W236S7050 BIG BEND DR STE 6",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039497",
            "telephone_number": "262-436-1340",
            "fax_number": "262-436-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W236S7050 BIG BEND DR STE 6",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "531039497",
            "telephone_number": "262-436-1340",
            "fax_number": "262-436-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTH CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "CONGEMI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER - CO-OWNER",
        "authorized_official_telephone_number": "414-690-6546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Elizabeth Cox, DC
• Karl W Droese, MD
• Halpin Family Chiropractic and Rehab Center S.C.
• Sean Cedric Halpin, D.C.
• Carol Lynn Herzberg, APNP
• Jerome Drugs Inc
• Alexandria Irene Jones, DDS
• Mac Kozaczuk, DC
• Kristi Lang
• Anne Marie Lenichek, PT

• Health Service Clinic/Center in Big Bend, WI
• Providers in Big Bend, WI by specialty
• Health Service Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.