NPIMap

Organization Active NPI

Interra Health Inc.

  • Primary Care Clinic/Center
  • Oshkosh, WI
National Provider Identifier
1952896409
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INTERRA HEALTH INC.
Practice address
292 Ohio St
Oshkosh, WI 54902-5825
Phone
(920) 267-5332
Fax
(855) 253-3142
NPI assigned
Jun 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Michelle D Ruth
Title
Implementation & Training Coordinat
Phone
(414) 375-1623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

292 Ohio St
Oshkosh, WI 54902-5825

Mailing address

8919 W Heather Ave
Milwaukee, WI 53224-2417
Phone (414) 375-1600

Other names 1

  • Three Waves Health Clinic and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Interra Health Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

8919 W Heather Ave
Milwaukee, WI 53224
Phone (414) 375-1600

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1952896409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 W HEATHER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242417",
            "telephone_number": "414-375-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 OHIO ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025825",
            "telephone_number": "920-267-5332",
            "fax_number": "855-253-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERRA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "IMPLEMENTATION & TRAINING COORDINAT",
        "authorized_official_telephone_number": "414-375-1623"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Waves Health Clinic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.