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RANDOM LAKE MEDICAL CENTER LLC
NPI 1285854240
Family Medicine in Random Lake, WI

Active since May 01, 2007
N639 SILVER CREEK CASCADE ROAD, RANDOM LAKE, WI 53075(920) 994-9999(920) 994-9998 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Random Lake Medical Center Llc NPPES

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

RANDOM LAKE MEDICAL CENTER LLC (NPI 1285854240) is a healthcare organization registered as a family medicine in Random Lake, Wisconsin and active in the NPI registry since May 2007. The organization lists Barbara A Weber, Owner, as its authorized official.

NPPES Registry Identity

NPI1285854240
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANDOM LAKE MEDICAL CENTER LLC
Location AddressN639 SILVER CREEK CASCADE ROADRandom Lake, WI 53075
Mailing AddressPo Box 246, N639 Silver Creek Cascade RdRandom Lake, WI 53075 · (920) 994-9999 · Fax (920) 994-9998
Phone(920) 994-9999
Fax(920) 994-9998
Organization SubpartNo
Authorized OfficialBarbara A WeberOwner · (920) 994-9999
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285854240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 39774
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
N639 SILVER CREEK CASCADE ROAD, Random Lake, WI 53075
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Other Identifiers 1

Medicaid32420000WI

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 SINGLE SPECIALTY GROUP

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 Random Lake Medical Center LLC's NPI number?

The NPI number for Random Lake Medical Center LLC is 1285854240. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Random Lake Medical Center LLC located?

Random Lake Medical Center LLC is located at N639 Silver Creek Cascade Road, Random Lake, WI 53075. The listed phone number is (920) 994-9999.

What is Random Lake Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Random Lake Medical Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.