SOURCEONE HEALTHCARE
NPI 1205997517
Health Maintenance Organization in Mauston, WI

Active since December 12, 2006
123 E STATE ST, MAUSTON, WI 53948(800) 779-1276(608) 847-5739 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sourceone Healthcare NPPES

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

SOURCEONE HEALTHCARE (NPI 1205997517) is a healthcare organization registered as a health maintenance organization in Mauston, Wisconsin and active in the NPI registry since December 2006. The organization lists Wayne Macardy, President, as its authorized official.

NPPES Registry Identity

NPI1205997517
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameSOURCE ONE HEALTHCARE A DIVISION OF PHILLIPS PHARMACIES
Location Address123 E STATE STMauston, WI 53948-1344
Mailing Address123 E State St, P.o. Box 218Mauston, WI 53948-1344 · (800) 779-1276 · Fax (608) 847-5739
Fax(608) 847-5739
Organization SubpartYesParent: Phillips Drug Store Inc.
Authorized OfficialWayne MacardyPresident · (800) 779-1276
Enumeration DateDecember 12, 2006
Last NPPES UpdateNovember 13, 2007
NPI 1205997517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
Definition
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
123 E STATE ST, Mauston, WI 53948

Other Names 1

Other NameSourceone Healthcare

Other Providers at the Same Location NPPES 3

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

Pharmacist
123 E STATE ST
MAUSTON, WI 53948
Pharmacy
123 E STATE ST
MAUSTON, WI 53948
Pharmacist
123 E STATE ST
MAUSTON, WI 53948

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 Source One Healthcare A Division Of Phillips Pharmacies's NPI number?

The NPI number for Source One Healthcare A Division Of Phillips Pharmacies is 1205997517. It was assigned to this organization in the NPPES registry on December 12, 2006. The provider is also known as Sourceone Healthcare.

Where is Source One Healthcare A Division Of Phillips Pharmacies located?

Source One Healthcare A Division Of Phillips Pharmacies is located at 123 E State St, Mauston, WI 53948. The listed phone number is (800) 779-1276.

What is Source One Healthcare A Division Of Phillips Pharmacies's specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

When was this NPI record last updated?

The NPPES record for Source One Healthcare A Division Of Phillips Pharmacies was last updated on November 13, 2007. 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.