Bay Area Medical Center Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BAY AREA MEDICAL CENTER INC

Practice address

3100 Shore Drive
Marinette, WI 54143-4242

Phone

(715) 735-4200

Fax

(715) 735-1791

NPI assigned

Nov 1, 2006

Organization subpart

No

Name

C Danial Carlson, CPA

Title

Cfo

Phone

(715) 735-8016

• Bay Area Medical Center Inc Dialysis Unit Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2008.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1861579997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHORE DRIVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-4200",
            "fax_number": "715-735-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SHORE DRIVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434242",
            "telephone_number": "715-735-4200",
            "fax_number": "715-735-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "DANIAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "715-735-8016",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1711544TYPE40",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11001400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Medical Center Inc Dialysis Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bay Area Imaging, S.C.
• Bay Area Medica Center
• Bay Area Medical Center
• Bay Area Medical Center Inc
• Bay Area Medical Center Inc
• Bay Area Medical Center, Inc
• Bay Area Medical Center, Inc
• Bay Area Medical Center, Inc
• Bay Area Medical Center, Inc
• Bay Area Medical Center, Inc

• All providers in Marinette, WI
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.