UWHP WRMC JOHNSON CREEK CLINIC
NPI 1043499080
Family Medicine in Johnson Creek, WI
About Uwhp Wrmc Johnson Creek Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UWHP WRMC JOHNSON CREEK CLINIC (NPI 1043499080) is a healthcare organization registered as a family medicine in Johnson Creek, Wisconsin and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Robert James Kluge, Patient Accounts Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
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 52D0951451
Watertown Regional Medical Center Johnson Creek Clinic · Johnson Creek, WIOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSON CREEK, WI 53038
JOHNSON CREEK, WI 53038
JOHNSON CREEK, WI 53038
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 Watertown Regional Medical Center Inc's NPI number?
The NPI number for Watertown Regional Medical Center Inc is 1043499080. It was assigned to this organization in the NPPES registry on October 26, 2007. The provider is doing business as Uwhp Wrmc Johnson Creek Clinic.
Where is Watertown Regional Medical Center Inc located?
Watertown Regional Medical Center Inc is located at 540 Village Walk Ln, Johnson Creek, WI 53038. The listed phone number is (920) 699-6200.
What is Watertown Regional Medical Center Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Watertown Regional Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0951451) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Watertown Regional Medical Center Inc was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Uwhp Wrmc Johnson Creek Clinic · NPI 1043499080
Family Medicine organization in Johnson Creek, Wisconsin. Organization record, active in the CMS NPPES registry since October 26, 2007.
## Identity
- **NPI:** 1043499080 (Entity type: Organization)
- **Enumerated:** October 26, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Watertown Regional Medical Center Inc
- **Organization subpart:** Yes (part of Watertown Regional Medical Center Inc)
- **Authorized official:** Robert Kluge, PATIENT ACCOUNTS MANAGER
## Practice location
- **Address:** 540 VILLAGE WALK LN, Johnson Creek, WI 53038-9554
- **Phone:** (920) 699-6200
## Record status
- **NPPES last updated:** March 20, 2014
- **Other identifiers:** Medicaid 21267000 (WI); Medicare PIN 000030125 (WI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043499080) · Data from the CMS NPPES public registry.