GRANT REGIONAL HEALTH CENTER INC NPI 1952868945

NPI Information

NPI: 1952868945
Provider Name: GRANT REGIONAL HEALTH CENTER, INC

Doing Business As: GRANT REGIONAL COMMUNITY CLINIC-CASSVILLE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
222 W AMELIA ST
CASSVILLE, WI
ZIP 53806
Phone: (608) 723-2131
Get Directions

GRANT REGIONAL HEALTH CENTER, INC is a rural health clinic center in Cassville, WI. GRANT REGIONAL HEALTH CENTER, INC NPI is 1952868945. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grant Regional Community Clinic-cassville.

The provider's business location address is:

222 W AMELIA ST
CASSVILLE, WI
ZIP 53806-774
Phone: (608) 723-2131
Fax: (608) 723-6446

The provider's authorized official is Joel Gehling .
The authorized official title is Cfo and has the following contact phone number (608) 723-3202.

The CLIA number assigned to this NPI record is 52D2165942 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2019 and was last updated on 6/14/2022.

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				No
2	261QR1300X	Clinic/Center	Rural Health			Yes

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	100192055	MEDICAID	WISCONSIN

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »