NPIMap

Organization Active NPI

Flambeau Hospital Inc

Doing business as Marshfield Clinic Phillips Center

  • Rural Health Clinic/Center
  • Phillips, WI
National Provider Identifier
1902493976
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FLAMBEAU HOSPITAL INC
Doing business as
Marshfield Clinic Phillips Center
Practice address
104 Trinity Dr
Phillips, WI 54555-1524
Phone
(715) 339-2101
NPI assigned
Dec 24, 2020
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARSHFIELD CLINIC HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Jolyn Munson
Title
VP Revenue Cycle Operations
Phone
(605) 328-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

104 Trinity Dr
Phillips, WI 54555-1524

Mailing address

1000 N Oak Ave
Provider Enrollment Services - SHP FL2
Marshfield, WI 54449-5703
Phone (715) 389-0668

Other names 1

  • Marshfield Clinic Phillips Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210105002456 WI Part A Provider - Rural Health Clinic 9032029871 Practice locations: Phillips, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902493976. Details of each certification follow.

Rural health clinic certification: CCN 528619

Legal name
FLAMBEAU HOSPITAL, INC.
Doing business as
MARSHFIELD CLINIC PHILLIPS CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 15, 2021
Last certification
Mar 15, 2021
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
104 Trinity Dr
Phillips, WI 54555-1524
Related CCNs
521325

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0395935Marshfield Clinic Phillips Center104 Trinity Drive, Phillips, WI 54555Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
Family Hospital Inc5 organizations share this tax ID, including this one
Part of
Marshfield Clinic Health System Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • MCHS Hospitals Inc

    dba MCHS Freestanding Clinic Physician Group

    • Internal Medicine Physician
    • Wausau, WI
    • NPI 1164159109

    Member Of

    NPD member

Locations

104 Trinity Dr
Phillips, WI 54555
Phone (715) 339-2101

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian D Hoerneman Individual Corporate OfficerPresident, Ceo Apr 4, 2023
Corporate DirectorBoard Member Sep 1, 2023
Tony Lee Morrison Individual W-2 Managing EmployeeVP, Chief Revenue Officer Jan 1, 2025
John F Baltus Individual Corporate OfficerTreasurer, Secretary, Vice Chair Sep 8, 2023
Corporate DirectorBoard Member Feb 3, 2016
Jolyn Joy Munson Individual W-2 Managing EmployeeVP Revenue Cycle Operations Jan 1, 2025
Dennis H Smith Individual Corporate DirectorBoard Member Jan 14, 2025
Jeffrey Douglas Poppen Individual Corporate OfficerCfo - Marshfield Jun 12, 2025
W-2 Managing EmployeeCfo - Marshfield Jun 12, 2025
Edward G Fernandez Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Sep 9, 2023
MCHS Hospitals Inc Organization, Marshfield, WI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2020 100%
Operational/Managerial Control Aug 1, 2020 100%
Samantha L Klebe Individual Corporate DirectorBoard Member Sep 8, 2023
W-2 Managing EmployeeChief Physician Jan 1, 2025
Linda Laverne Procci Individual Corporate DirectorBoard Member Feb 1, 2025
Sanford Organization, Fargo, ND Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Everett W Newcomb Individual Corporate DirectorBoard Member Sep 13, 2024
Marshfield Clinic Health System Inc Organization, Marshfield, WI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2020 100%
Operational/Managerial Control Aug 1, 2020
Douglas Mathison Individual Corporate DirectorBoard Member Dec 15, 2020
Nicholas Wayne Olson Individual W-2 Managing EmployeeExecutive VP, Cfo - Sanford Jan 1, 2025

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 41

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 41

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1902493976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "address_2": "PROVIDER ENROLLMENT SERVICES - SHP FL2",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-389-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 TRINITY DR",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551524",
            "telephone_number": "715-339-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMBEAU HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
        "enumeration_date": "2020-12-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "MUNSON",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "605-328-6585"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marshfield Clinic Phillips Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshfield Clinic Phillips Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phillips, WI

Sources for this page

Verify at the official NPI Registry.