Provider Type Icon

FAMILY CARE OF THE FOX CITIES SC NPI 1841346749


NPI Information

NPI: 1841346749
Provider Name: FAMILY CARE OF THE FOX CITIES SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 52D1002286

Address:
W3124 VAN ROY ROAD
APPLETON, WI
ZIP 54915
Phone: (920) 730-2747
Get Directions

FAMILY CARE OF THE FOX CITIES SC is a family medicine in Appleton, 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. FAMILY CARE OF THE FOX CITIES SC NPI is 1841346749. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

W3124 VAN ROY ROAD
APPLETON, WI
ZIP 54915-982
Phone: (920) 730-2747
Fax: (920) 730-2207

The provider's authorized official is James R Richter .
The authorized official title is President and has the following contact phone number (920) 730-2747.

The CLIA number assigned to this NPI record is 52D1002286 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/25/2007 and was last updated on 3/31/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine27472WISCONSINNo
2207Q00000XFamily Medicine32134WISCONSINYes

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
121259400MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.