HARTFORD CLINIC
NPI 1326057795
Family Medicine in Hartford, WI
- Organization
- Family Medicine
- CLIA Number: 52D2084866
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-29-2027
About HARTFORD CLINIC
This page provides the complete NPI Profile along with additional information for Hartford Clinic, a primary care provider established in Hartford, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1326057795 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Hartford Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Hartford Clinic. The authorized official of this NPI record is Gregory G Blommel (Medical Director)
- NPI
- 1326057795 Verify this NPI
- Provider Legal Name
- WEST BEND CLINIC, INC.
- Other Organization Name
- HARTFORD CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 110 LONE OAK LN HARTFORD, WI 53027
- Location Phone
- (262) 670-1800
- Mailing Address
- 1700 W PARADISE DR WEST BEND, WI 53095
- Mailing Phone
- (262) 334-3451
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2006
- Last Update Date
- 05-23-2012
- Code Navigator
A primary care provider (PCP) like Hartford Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 2 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67025 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | GROUP NUMBER |
| 21251400 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2084866
- Facility Type
- Physician Office
- Certificate Effective Date
- June 30, 2025
- Certificate Expiration Date
- June 29, 2027
- Laboratory Director
- DR. COURTNEY YOUNG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hartford Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HARTFORD, WI 53027
HARTFORD, WI 53027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326057795, enumerated as an "organization" on August 05, 2006.
The provider is located at 110 LONE OAK LN HARTFORD, WI 53027 and the phone number is (262) 670-1800.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
