NPIMap

Organization Active NPI

MCHS Hospitals Inc

Doing business as Marshfield Clinic Bloomer Center, RHC

  • Rural Health Clinic/Center
  • Bloomer, WI
National Provider Identifier
1992345771
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MCHS HOSPITALS INC
Doing business as
Marshfield Clinic Bloomer Center, RHC
Practice address
1711 York St
Bloomer, WI 54724-1902
Phone
(715) 568-6220
NPI assigned
Jan 9, 2020
Last updated
Apr 15, 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 Apr 15, 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

1711 York St
Bloomer, WI 54724-1902

Mailing address

1000 N Oak Ave
Provider Enrollment SHP FL2
Marshfield, WI 54449-5703
Phone (715) 389-0660

Other names 1

  • Marshfield Clinic Bloomer Center, RHC 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
O20200225002604 WI Part A Provider - Rural Health Clinic 5698071173 Practice locations: Bloomer, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992345771. Details of each certification follow.

Rural health clinic certification: CCN 528647

Legal name
MCHS HOSPITALS INC
Doing business as
MARSHFIELD CLINIC BLOOMER CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 28, 2023
Last certification
Jun 28, 2023
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Dec 10, 2015 in WI
Enrollment address
1711 York St
Bloomer, WI 54724-1902
Related CCNs
521328

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

National Provider Directory

National Provider Directory
Tax ID family
MCHS Ny Telehealth60 organizations share this tax ID, including this one
Part of
Marshfield Clinic Health System Inc

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Ownership & related parties

All disclosed owners & managing parties 14

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
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 Non-profit 5% Or Greater Direct Ownership Interest Feb 28, 2014 100%
Douglas Mathison Individual Corporate DirectorBoard Member Dec 16, 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.

All facility ownership & control disclosures 32

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshfield Medical Center - Rice LakeRice Lake, WI, CCN 520011 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 28, 2014
Marshfield Medical Center - Beaver DamBeaver Dam, WI, CCN 520076 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Marshfield Medical Center - Park FallsPark Falls, WI, CCN 521325 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2020
Marshfield Medical Center - Park Falls Swing BedPark Falls, WI, CCN 52Z325 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2020
Marshfield Medical Center - Dickinson (Swing Bed)Iron Mountain, MI, CCN 23U055 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Medical Center - NeillsvilleNeillsville, WI, CCN 521323 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
Marshfield Medical Center - NeillsvilleNeillsville, WI, CCN 52Z323 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
Marshfield Medical Center - DickinsonIron Mountain, MI, CCN 231342 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 10, 2015
Marshfield Medical Center - DickinsonIron Mountain, MI, CCN 23Z342 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 10, 2015
Hillside Manor Nursing HomeBeaver Dam, WI, CCN 525447 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 May 1, 2019
May 1, 2019
May 1, 2019
Hillside Home Care HHABeaver Dam, WI, CCN 527191 Home health agency 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Marshfield Medical Center - Rice Lake Home HealthRice Lake, WI, CCN 527158 Home health agency 5% Or Greater Direct Ownership Interest (100%) May 15, 2020
Marshfield Medical Center - Dickinson Home HealthIron Mountain, MI, CCN 237292 Home health agency 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Hillside HospiceBeaver Dam, WI, CCN 521518 Hospice 5% Or Greater Direct Ownership Interest (100%) May 1, 2019
Marshfield Medical Center - Rice Lake HospiceRice Lake, WI, CCN 521558 Hospice 5% Or Greater Direct Ownership Interest (100%) May 15, 2020
Marshfield Medical Center - Dickinson HospiceIron Mountain, MI, CCN 231728 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 3, 2022
Feb 3, 2022
Marshfield Medical Center - Dickinson Florence CenterFlorence, WI, CCN 523991 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Medical Center - Dickinson Family MedicineIron Mountain, MI, CCN 238559 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Medical Center - Dickinson Primary CareIron Mountain, MI, CCN 238634 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Medical Center - Dickinson Norway Family and Geriatric CtrNorway, MI, CCN 238643 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Medical Center - Neillsville ClinicNeillsville, WI, CCN 523980 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
Marshfield Medical Center - Dickinson Internal Medicine and NephrologyIron Mountain, MI, CCN 238656 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Medical Center - Dickinson Norway CenterNorway, MI, CCN 238654 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Medical Center - Dickinson Obstetrics & GynecologyIron Mountain, MI, CCN 238690 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 3, 2022
Marshfield Clinic Stratford CenterStratford, WI, CCN 528611 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
Marshfield Clinic Colby/Abbotsford CenterColby, WI, CCN 528612 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
Marshfield Clinic Greenwood CenterGreenwood, WI, CCN 528613 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2018
Marshfield Clinic Hayward CenterHayward, WI, CCN 528650 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 10, 2015
Dec 10, 2015
Marshfield Clinic Cumberland CenterCumberland, WI, CCN 528652 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 10, 2015
Dec 10, 2015
Marshfield Clinic Phillips CenterPhillips, WI, CCN 528619 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2020
Aug 1, 2020
Marshfield Medical Center - Rice Lake ClinicRice Lake, WI, CCN 528618 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 10, 2015
Dec 10, 2015
Marshfield Medical Center - Park Falls ClinicPark Falls, WI, CCN 528623 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2020
Aug 1, 2020

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": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1992345771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "address_2": "PROVIDER ENROLLMENT SHP FL2",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-389-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 YORK ST",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241902",
            "telephone_number": "715-568-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHS HOSPITALS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARSHFIELD CLINIC HEALTH SYSTEM INC",
        "enumeration_date": "2020-01-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "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 Bloomer Center, RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomer, WI

Sources for this page

Verify at the official NPI Registry.