EMPLIFY HEALTH
NPI 1013748060
Clinic/Center in Mondovi, WI

Active since August 12, 2024CLIA 52D2310679 · Waiver
250 STATE ROAD 37, MONDOVI, WI 54755(715) 538-4361 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Aug 12, 2024 (2 updates tracked since 2024).

About Emplify Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMPLIFY HEALTH (NPI 1013748060) is a healthcare organization registered as a clinic/center in Mondovi, Wisconsin and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through September 8, 2028 and lists Dan D Coenen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013748060
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTRI-COUNTY MEMORIAL HOSPITAL INC
Location Address250 STATE ROAD 37Mondovi, WI 54755-2611
Mailing Address18601 Lincoln StWhitehall, WI 54773-8605 · (715) 538-4361
Organization SubpartNo
Authorized OfficialDan D CoenenAdministrator · (715) 538-4361
Enumeration DateAugust 12, 2024
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1013748060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedFamily MedicineTaxonomy 207Q00000X
250 STATE ROAD 37, Mondovi, WI 54755

Other Names 1

Doing Business AsEmplify Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emplify Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

292

Medicare enrollment records show 292 clinicians reassign Medicare billing to Emplify Health, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Emergency Medicine65
Diagnostic Radiology44
Internal Medicine29
Nurse Practitioner26
Family Practice24
Certified Registered Nurse Anesthetist (CRNA)12
Cardiovascular Disease (Cardiology)11
Pathology11
30 other specialties70

Nearest to this location (20)

See all 292
Family Practice
NPI 1174552798
905 7TH AVE W
Durand, WI 54736
(715) 672-5981
✔ PECOS✔ Accepts Medicare16 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1861169716
2116 CRAIG RD
Eau Claire, WI 54701
(715) 858-4500
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1528058021
1400 BELLINGER ST
Eau Claire, WI 54703
(715) 838-5222
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1205257102
1400 BELLINGER ST
Eau Claire, WI 54703
(715) 838-5222
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1417944349
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-4361
✔ PECOS✔ Accepts Medicare22 mi
Mental Health Counselor
NPI 1215175245
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-1712
✔ PECOS✔ Accepts Medicare22 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578568051
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-4355
✔ PECOS✔ Accepts Medicare22 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710906813
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-4361
✔ PECOS22 mi
Family Practice
NPI 1912535311
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-4361
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1124334305
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-4361
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1245925395
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-1712
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1316037047
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-1712
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1285346965
18601 LINCOLN ST
Whitehall, WI 54773
(715) 538-4355
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1972893071
18606 ERVIN ST
Whitehall, WI 54773
(715) 538-4355
✔ PECOS✔ Accepts Medicare22 mi
Family Practice
NPI 1255614681
18606 ERVIN ST
Whitehall, WI 54773
(715) 538-4355
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1114438348
18606 ERVIN ST
Whitehall, WI 54773
(715) 538-4355
✔ PECOS✔ Accepts Medicare22 mi
Orthopedic Surgery
NPI 1174727093
1200 GRANT BLVD W
Wabasha, MN 55981
(608) 782-7300
✔ PECOS✔ Accepts Medicare23 mi
Emergency Medicine
NPI 1457617193
1200 GRANT BLVD W
Wabasha, MN 55981
(651) 565-4531
✔ PECOS23 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487627022
2321 STOUT RD
Menomonie, WI 54751
(715) 235-9671
✔ PECOS✔ Accepts Medicare25 mi
Emergency Medicine
NPI 1629043302
14633 48TH AVE
Chippewa Falls, WI 54729
(920) 450-7611
✔ PECOS✔ Accepts Medicare27 mi
See all 292 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2310679

Tri-County Memorial Hospital, Inc · Mondovi, WI
Active · expires Sep 8, 2028
CLIA Number52D2310679
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorDarcy J. Goplin
Laboratory Phone(715) 538-4361
Laboratory LocationTri-County Memorial Hospital, Inc250 State Road 37, Mondovi, WI 54755
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-County Memorial Hospital Inc's NPI number?

The NPI number for Tri-County Memorial Hospital Inc is 1013748060. It was assigned to this organization in the NPPES registry on August 12, 2024. The provider is doing business as Emplify Health.

Where is Tri-County Memorial Hospital Inc located?

Tri-County Memorial Hospital Inc is located at 250 State Road 37, Mondovi, WI 54755. The listed phone number is (715) 538-4361.

What is Tri-County Memorial Hospital Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tri-County Memorial Hospital Inc enrolled in Medicare?

Yes. Tri-County Memorial Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-County Memorial Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 292 clinicians in 38 Medicare specialties reassign their Medicare billing to Tri-County Memorial Hospital Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (65), Diagnostic Radiology (44) and Internal Medicine (29). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-County Memorial Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2310679) is associated with this NPI, valid through September 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-County Memorial Hospital Inc accept?

Health plans from Aspirus Health Plan and Quartz list Tri-County Memorial Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri-County Memorial Hospital Inc was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.