Active NPI
Confluence Healthcare, S.C.
- Primary Care Clinic/Center
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julia Kyle, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2183176 | Confluence Healthcare, SC | Certificate of waiver | Apr 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Eau Claire, WI
- NPI 1245326230
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.