MILE BLUFF CLINIC LLP NPI 1366623654

NPI Information

  • NPI: 1366623654
  • Provider Name: MILE BLUFF CLINIC, LLP
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 52D0705559
  • Address: 1408 WHEELIHAN AVE
    NECEDAH, WI
    ZIP 54646
  • Phone: (608) 565-2000

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NPI Details

MILE BLUFF CLINIC, LLP is a durable medical equipment medical supplies in Necedah, 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. MILE BLUFF CLINIC, LLP NPI is 1366623654. The provider is registered as an organization entity type.

The provider's business location address is:

1408 WHEELIHAN AVE
NECEDAH, WI
ZIP 54646-253
Phone: (608) 565-2000

The provider's authorized official is Carol Fronk .
The authorized official title is Administratior and has the following contact phone number (608) 847-5000.

The CLIA number assigned to this NPI record is 52D0705559 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 2/26/2008.

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
141679000MEDICAIDWISCONSIN
21294460004MEDICARE 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: 11/21/2025

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