SAUK PRAIRIE HEALTHCARE INC NPI 1609841568

NPI Information

NPI: 1609841568
Provider Name: SAUK PRAIRIE HEALTHCARE INC

Other Name: RIVER VALLEY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
436 SUNRISE DR
SPRING GREEN, WI
ZIP 53588
Phone: (608) 588-2502
Get Directions

SAUK PRAIRIE HEALTHCARE INC is a family medicine in Spring Green, WI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAUK PRAIRIE HEALTHCARE INC NPI is 1609841568. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is River Valley Medical Clinic.

The provider's business location address is:

436 SUNRISE DR
SPRING GREEN, WI
ZIP 53588-286
Phone: (608) 588-2502

The provider's authorized official is James Dregney .
The authorized official title is Cfo and has the following contact phone number (608) 643-7212.

The CLIA number assigned to this NPI record is 52D0393147 - rural health clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 2/22/2018.

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
1	207Q00000X	Family Medicine				Yes
2	261QR1300X	Clinic/Center	Rural Health			No

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
1	CD3549	OTHER		RAILROAD MEDICARE
2	32764200	MEDICAID	WISCONSIN
3	43061900	MEDICAID	WISCONSIN
4	=========001	OTHER	ILLINOIS	IL MEDICAID HFS

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

NPI Synchronization or Removal

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