NPIMap

Organization Active NPI

New London Family Medical Center Inc

Doing business as New London Family Medical Center

  • Non-Pharmacy Dispensing Site
  • New London, WI
National Provider Identifier
1972928463
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
NEW LONDON FAMILY MEDICAL CENTER INC
Doing business as
New London Family Medical Center
Practice address
1405 Mill St
New London, WI 54961-2155
Phone
(920) 531-2000
NPI assigned
Feb 20, 2014
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW LONDON FAMILY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mr. William Flett
Title
Cfo
Phone
(920) 454-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1405 Mill St
New London, WI 54961-2155

Mailing address

1405 Mill St
New London, WI 54961-2155
Phone (920) 830-8900

Other names 1

  • New London Family Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972928463. Details of each certification follow.

Hospital certification: CCN 520053

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NEW LONDON FAMILY MEDICAL CTR INC
Certification status
Terminated Other: provider status change, Jan 1, 2003
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 20, 1996
Beds
39
Ownership / control type
Private (not for profit)
Facility address
1405 Mill St PO Box 307
New London, WI 54961

National Provider Directory

National Provider Directory
Tax ID family
New London Family Medic5 organizations share this tax ID, including this one
Part of
New London Family Medic

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1972928463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612155",
            "telephone_number": "920-830-8900",
            "fax_number": "920-830-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MILL ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612155",
            "telephone_number": "920-531-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LONDON FAMILY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LONDON FAMILY MEDICAL CENTER INC",
        "enumeration_date": "2014-02-20",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "FLETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "920-454-4013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New London Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, WI

Sources for this page

Verify at the official NPI Registry.