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UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC NPI 1902866783


NPI Information

NPI: 1902866783
Provider Name: UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC

Other Name: UW HEALTH NORTHEAST FAMILY MEDICINE

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

CLIA Number: 52D0393406

Address:
3209 DRYDEN DR
MADISON, WI
ZIP 53704
Phone: (608) 241-9020
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UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC is a durable medical equipment medical supplies in Madison, 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 1902866783. The provider is registered as an organization entity type.
The provider Other Name Is Uw Health Northeast Family Medicine.

The provider's business location address is:

3209 DRYDEN DR
MADISON, WI
ZIP 53704-015
Phone: (608) 241-9020
Fax: (608) 833-6932

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 52D0393406 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/24/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141729100MEDICAIDWISCONSIN
21111570049MEDICARE 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: 11/14/2023

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