SCENIC BLUFFS HEALTH CENTER, INC
NPI 1336755701
Clinic/Center - Federally Qualified Health Center (FQHC) in Boscobel, WI

NPI Status: Active since September 21, 2020

Contact Information

105 E BLUFF ST
BOSCOBEL, WI
ZIP 53805
Phone: (608) 654-5100

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 52D0886049
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 05-11-2026

About SCENIC BLUFFS HEALTH CENTER, INC

This page provides the complete NPI Profile along with additional information for Scenic Bluffs Health Center, Inc, a primary care provider established in Boscobel, Wisconsin operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1336755701 assigned on September 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Sheryl Robinson (Cfo)

NPI
1336755701
Provider Name
SCENIC BLUFFS HEALTH CENTER, INC
Entity Type
Organization
Location Address
105 E BLUFF ST BOSCOBEL, WI 53805
Location Phone
(608) 654-5100
Mailing Address
PO BOX 39 CASHTON, WI 54619
Mailing Phone
(608) 654-5100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2020
Last Update Date
09-21-2020
Code Navigator

A primary care provider (PCP) like Scenic Bluffs Health Center, Inc 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

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHERYL ROBINSON

Authorized Official Title
CFO
Authorized Official Phone
(608) 654-5100

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
52D0886049
Facility Type
Federally Qualified Health Center
Certificate Effective Date
May 12, 2024
Certificate Expiration Date
May 11, 2026
Laboratory Director
DR. ELIZABETH R. BADE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Scenic Bluffs Health Center, Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336755701
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661451070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 5 + 1 + 0 + 7 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1336755701 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

LARRY CLARK

Dentist

(General Practice)

105 E BLUFF ST
BOSCOBEL, WI
ZIP 53805

(608) 375-4549

DR. KEITH W. NANCE DDS

Dentist

(General Practice)

105 E BLUFF ST
BOSCOBEL, WI
ZIP 53805

(608) 375-4549

ALISSA S LANGE DENTAL HYGIENIST

Dental Hygienist

105 E BLUFF ST
BOSCOBEL, WI
ZIP 53805

(608) 654-5100

MARIAH M MAYNE RDH

Dental Hygienist

105 E BLUFF ST
BOSCOBEL, WI
ZIP 53805

(608) 654-5100

JOEL SPENCER LEDVINA

Student in an Organized Health Care Education/Training Program

105 E BLUFF ST
BOSCOBEL, WI
ZIP 53805

(608) 375-4549

BOSCOBEL FAMILY DENTAL CARE LLC

Clinic/Center

(Dental)

105 E BLUFF ST
BOSCOBEL, WI
ZIP 53805

(608) 375-4549

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336755701, enumerated as an "organization" on September 21, 2020.

The provider is located at 105 E BLUFF ST BOSCOBEL, WI 53805 and the phone number is (608) 654-5100.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).