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UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC NPI 1598726770


NPI Information

NPI: 1598726770
Provider Name: UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC

Other Name: UW HEALTH MT HOREB CLINIC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 52D0393073

Address:
600 N 8TH ST
MOUNT HOREB, WI
ZIP 53572
Phone: (608) 437-3064
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UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC is a durable medical equipment medical supplies in Mount Horeb, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC NPI is 1598726770. The provider is registered as an organization entity type.
The provider Other Name Is Uw Health Mt Horeb Clinic.

The provider's business location address is:

600 N 8TH ST
MOUNT HOREB, WI
ZIP 53572-870
Phone: (608) 437-3064
Fax: (608) 437-4073

The provider's authorized official is Robert Flannery .
The authorized official title is Cao & Cfo and has the following contact phone number (608) 821-4223.

The CLIA number assigned to this NPI record is 52D0393073 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 7/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141723300MEDICAIDWISCONSIN
21111570021MEDICARE NSCWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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