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MILE BLUFF CLINIC, LLP
NPI 1053592261
Durable Medical Equipment & Medical Supplies in Wisconsin Dells, WI

Active since November 15, 2007CLIA 52D0705559 · Waiver
300 RACE ST, WISCONSIN DELLS, WI 53965(608) 254-2574 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mile Bluff Clinic, Llp NPPES

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

MILE BLUFF CLINIC, LLP (NPI 1053592261) is a healthcare organization registered as a durable medical equipment & medical supplies in Wisconsin Dells, Wisconsin and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists Carol Fronk, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053592261
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMILE BLUFF CLINIC, LLP
Location Address300 RACE STWisconsin Dells, WI 53965-1822
Mailing Address1040 Division StMauston, WI 53948-1931 · (608) 847-5000
Phone(608) 254-2574
Organization SubpartNo
Authorized OfficialCarol FronkAdministrator · (608) 847-5000
Enumeration DateNovember 15, 2007
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1053592261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
300 RACE ST, Wisconsin Dells, WI 53965
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Other Identifiers 2

Medicaid41679000WI
Medicare NSC1294460010WI

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 52D0705559

Mile Bluff Clinic · Mauston, WI
Active · expires Nov 1, 2026
CLIA Number52D0705559
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorCarly J. Thayer
Laboratory Phone(608) 847-1262
Laboratory LocationMile Bluff Clinic1040 Division St, Mauston, WI 53948
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIMBERLY A KELLY P.T.
Physical Therapist
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 254-2574
MEGAN LONG M.S.
Speech-Language Pathologist
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 254-2574
MRS. KARLA JEAN DONOHUE COTA
Occupational Therapy Assistant
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 219-4293
MRS. NANCY ANNE NORDBECK COTA
Occupational Therapy Assistant
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 254-2574
MS. KARIN LYN LUTHER PT
Physical Therapist
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 524-7543
ERIK R SNORTUM PT
Physical Therapist
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 254-2574
ALAN P MESSA PTA
Physical Therapy Assistant
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (608) 254-2574
NSH WISCONSIN DELLS LLC
Skilled Nursing Facility
300 RACE ST
WISCONSIN DELLS, WI 53965
Columbia County (414) 962-5250

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 Mile Bluff Clinic, LLP's NPI number?

The NPI number for Mile Bluff Clinic, LLP is 1053592261. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Mile Bluff Clinic, LLP located?

Mile Bluff Clinic, LLP is located at 300 Race St, Wisconsin Dells, WI 53965. The listed phone number is (608) 254-2574.

What is Mile Bluff Clinic, LLP's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mile Bluff Clinic, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0705559) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mile Bluff Clinic, LLP was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.