MCHS Hospitals Inc
Organization Active NPI Rural Health Clinic/Center · Bloomer, WI
NPI 1992345771 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1992345771
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- MCHS HOSPITALS INC
- Practice address
- 1711 York St
Bloomer, WI 54724-1902 - Phone
- (715) 568-6220
- NPI assigned
- Jan 9, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- MARSHFIELD CLINIC HEALTH SYSTEM INC
Authorized official
- Name
- Jolyn Munson
- Title
- VP Revenue Cycle Operations
- Phone
- (605) 328-6585
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 3
-
Brian Hoerneman, MD
Corporate family (same tax ID) 12
Related certifications (CCN) 1
Facilities with the same owner 41
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
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
- Corporation · Non-profit
- Incorporated
- Dec 10, 2015 in WI
- Enrollment address
- 1711 York St
Bloomer, WI 54724-1902 - Related CCNs
- 521328
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Brian D Hoerneman |
Corporate Officer |
Apr 4, 2023 | |
| Corporate Director |
Sep 1, 2023 | ||
| Tony Lee Morrison |
W-2 Managing Employee |
Jan 1, 2025 | |
| John F Baltus |
Corporate Officer |
Sep 8, 2023 | |
| Corporate Director |
Feb 3, 2016 | ||
| Jolyn Joy Munson |
W-2 Managing Employee |
Jan 1, 2025 | |
| Dennis H Smith |
Corporate Director |
Jan 14, 2025 | |
| Jeffrey Douglas Poppen |
Corporate Officer |
Jun 12, 2025 | |
| W-2 Managing Employee |
Jun 12, 2025 | ||
| Edward G Fernandez |
Corporate Officer |
Jan 1, 2025 | |
| Corporate Director |
Sep 9, 2023 | ||
| Samantha L Klebe |
Corporate Director |
Sep 8, 2023 | |
| W-2 Managing Employee |
Jan 1, 2025 | ||
| Linda Laverne Procci |
Corporate Director |
Feb 1, 2025 | |
| Sanford |
5% Or Greater Indirect Ownership Interest | Jan 1, 2025 | 100% |
| Everett W Newcomb |
Corporate Director |
Sep 13, 2024 | |
| Marshfield Clinic Health System Inc |
5% Or Greater Direct Ownership Interest | Feb 28, 2014 | 100% |
| Douglas Mathison |
Corporate Director |
Dec 16, 2020 | |
| Nicholas Wayne Olson |
W-2 Managing Employee |
Jan 1, 2025 |
All facility ownership & control disclosures 32
| Facility | Type | Role | Since |
|---|---|---|---|
| Marshfield Medical Center - Rice Lake |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 28, 2014 |
| Marshfield Medical Center - Beaver Dam |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2019 |
| Marshfield Medical Center - Park Falls |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2020 |
| Marshfield Medical Center - Park Falls Swing Bed |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 1, 2020 |
| Marshfield Medical Center - Dickinson (Swing Bed) |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Medical Center - Neillsville |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2018 |
| Marshfield Medical Center - Neillsville |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2018 |
| Marshfield Medical Center - Dickinson |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 10, 2015 |
| Marshfield Medical Center - Dickinson |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 10, 2015 |
| Hillside Manor Nursing Home |
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 HHA |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2019 |
| Marshfield Medical Center - Rice Lake Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | May 15, 2020 |
| Marshfield Medical Center - Dickinson Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Hillside Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | May 1, 2019 |
| Marshfield Medical Center - Rice Lake Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) | May 15, 2020 |
| Marshfield Medical Center - Dickinson Hospice |
Hospice | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Feb 3, 2022 Feb 3, 2022 |
| Marshfield Medical Center - Dickinson Florence Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Medical Center - Dickinson Family Medicine |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Medical Center - Dickinson Primary Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Medical Center - Dickinson Norway Family and Geriatric Ctr |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Medical Center - Neillsville Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2018 |
| Marshfield Medical Center - Dickinson Internal Medicine and Nephrology |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Medical Center - Dickinson Norway Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Medical Center - Dickinson Obstetrics & Gynecology |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Feb 3, 2022 |
| Marshfield Clinic Stratford Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2018 |
| Marshfield Clinic Colby/Abbotsford Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2018 |
| Marshfield Clinic Greenwood Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Dec 1, 2018 |
| Marshfield Clinic Hayward Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 10, 2015 Dec 10, 2015 |
| Marshfield Clinic Cumberland Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 10, 2015 Dec 10, 2015 |
| Marshfield Clinic Phillips Center |
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 Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 10, 2015 Dec 10, 2015 |
| Marshfield Medical Center - Park Falls Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2020 Aug 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200225002604 | WI | Part a Provider - Rural Health Clinic | 5698071173 | Practice locations: Bloomer, WI |
National Provider Directory
- Tax ID family
- MCHS Hospitals Inc
- Part of
- Marshfield Clinic Health System Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
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
- Marshfield Clinic Bloomer Center, RHC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Bloomer, WI
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
- Robert MC Roberts Jr.
- MCHS Hospitals Inc
- Brenda Mary Meinen
- Sabra Meinen
- Midwest Physical Therapy, Inc
- Gregory A Mihm
- Angela Ming
All providers in Bloomer, WI · Rural Health Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.