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EDGERTON HOSPITAL AND HEALTH SERVICES
NPI 1083310908
Podiatrist in Edgerton, WI

Active since February 02, 2023CLIA 52D0392724 · Certificate of Compliance
111 W FULTON ST, EDGERTON, WI 53534(608) 884-3441 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgerton Hospital And Health Services NPPES

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

EDGERTON HOSPITAL AND HEALTH SERVICES (NPI 1083310908) is a healthcare organization registered as a podiatrist in Edgerton, Wisconsin and active in the NPI registry since February 2023. The organization holds a CLIA Certificate of Compliance certificate valid through June 7, 2027 and lists Charles Roeder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083310908
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEDGERTON HOSPITAL AND HEALTH SERVICES INC
Location Address111 W FULTON STEdgerton, WI 53534-1876
Mailing Address11101 N Sherman RdEdgerton, WI 53534-9002 · (608) 884-3441
Phone(608) 884-3441
Organization SubpartNo
Authorized OfficialCharles RoederCfo · (608) 884-3441
Enumeration DateFebruary 2, 2023
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1083310908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPsychologistTaxonomy 103T00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
111 W FULTON ST, Edgerton, WI 53534
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Other Names 1

Other NameEdgerton Hospital And Health Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Quartz.Insurance ›

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 Compliance 52D0392724

Edgerton Hospital & Health Services · Edgerton, WI
Active · expires Jun 7, 2027
CLIA Number52D0392724
Laboratory TypeHospital
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorDr. Joel Mendelin
Laboratory Phone(608) 884-1371
Laboratory LocationEdgerton Hospital & Health Services11101 N Sherman Rd, Edgerton, WI 53534
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

MARY T PAULI LCPC
Counselor (Mental Health)
111 W FULTON ST
EDGERTON, WI 53534
Rock County (608) 561-6614
KRYSTAL LUCAS LCSW, MSW, CAPSW
Social Worker (Clinical)
111 W FULTON ST
EDGERTON, WI 53534
Rock County (608) 561-6614

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 Edgerton Hospital And Health Services Inc's NPI number?

The NPI number for Edgerton Hospital And Health Services Inc is 1083310908. It was assigned to this organization in the NPPES registry on February 2, 2023. The provider is also known as Edgerton Hospital And Health Services.

Where is Edgerton Hospital And Health Services Inc located?

Edgerton Hospital And Health Services Inc is located at 111 W Fulton St, Edgerton, WI 53534. The listed phone number is (608) 884-3441.

What is Edgerton Hospital And Health Services Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Does Edgerton Hospital And Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D0392724) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Edgerton Hospital And Health Services Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Edgerton Hospital And Health Services 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 Edgerton Hospital And Health Services Inc was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.