Active NPI
HSHS Wisconsin Medical Group Inc
Doing business as Family Health Associates
- Multi-Specialty Clinic/Center
- Chippewa Falls, WI
National Provider Identifier
1891024527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- HSHS WISCONSIN MEDICAL GROUP INC
- Doing business as
- Family Health Associates
- Practice address
- 2449 County Highway I
Chippewa Falls, WI 54729-4410 - Phone
- (715) 723-9138
- Fax
- (715) 723-8633
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melinda Clark
- Title
- Ceo
- Phone
- (217) 523-5406
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
2449 County Highway I
Chippewa Falls, WI 54729-4410
Mailing address
2449 County Highway I
Chippewa Falls, WI 54729-4410
Phone (715) 723-9138
Other names 1
- Family Health Associates
National Provider Directory
National Provider DirectoryInteroperability endpoints
- admin@familyhealthassociates.e-mdsdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1891024527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547294410",
"telephone_number": "715-723-9138",
"fax_number": "715-723-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 COUNTY HIGHWAY I",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547294410",
"telephone_number": "715-723-9138",
"fax_number": "715-723-8633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HSHS WISCONSIN MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "MELINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "217-523-5406"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Health Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chippewa Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.