Organization Active NPI

Confluence Healthcare, S.C.

  • Primary Care Clinic/Center
  • Eau Claire, WI
National Provider Identifier
1982235693
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CONFLUENCE HEALTHCARE, S.C.
Practice address
431 E Clairemont Ave Ste D
Eau Claire, WI 54701-6480
Phone
(715) 828-9060
Fax
(715) 514-2467
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Julia Kyle, MDNPI 1245326230
Title
Owner
Phone
(715) 828-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

431 E Clairemont Ave Ste D
Eau Claire, WI 54701-6480

Mailing address

431 E Clairemont Ave Ste D
Eau Claire, WI 54701-6480
Phone (715) 828-9060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200528000623 WI Part B Supplier - Clinic/Group Practice 3173944295 Receives reassigned benefits from 1 practitioner
Practice locations: Eau Claire, WI

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
52D2183176Confluence Healthcare, SC431 E Clairemont Avenue, Suite D, Eau Claire, WI 54701Certificate of waiverApr 29, 2028

National Provider Directory

National Provider Directory

Locations

431 E Clairemont Ave
Ste D
Eau Claire, WI 54701
Phone (715) 828-9060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1982235693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E CLAIREMONT AVE STE D",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016480",
            "telephone_number": "715-828-9060",
            "fax_number": "715-514-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E CLAIREMONT AVE STE D",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016480",
            "telephone_number": "715-828-9060",
            "fax_number": "715-514-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFLUENCE HEALTHCARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-828-9060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.