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UWHP WRMC WATERLOO CLINIC
NPI 1427232495
Family Medicine in Waterloo, WI

Active since December 26, 2007CLIA 52D0890453 · Waiver
111 ANNA ST, WATERLOO, WI 53594(920) 478-3776(920) 478-3979 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Uwhp Wrmc Waterloo Clinic NPPES

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

UWHP WRMC WATERLOO CLINIC (NPI 1427232495) is a healthcare organization registered as a family medicine in Waterloo, Wisconsin and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Robert James Kluge, Patient Accounting Manager, as its authorized official.

NPPES Registry Identity

NPI1427232495
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWATERTOWN REGIONAL MEDICAL CENTER INC
Location Address111 ANNA STWaterloo, WI 53594-1184
Mailing AddressPo Box 684088Chicago, IL 60695-4088 · (920) 262-4784 · Fax (920) 262-4640
Phone(920) 478-3776
Fax(920) 478-3979
Organization SubpartYes
Authorized OfficialRobert James KlugePatient Accounting Manager · (920) 262-4784
Enumeration DateDecember 26, 2007
Last NPPES UpdateMarch 20, 2014
✔ NPI 1427232495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
111 ANNA ST, Waterloo, WI 53594
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Other Names 1

Doing Business AsUwhp Wrmc Waterloo Clinic

Other Identifiers 2

Medicaid21320100WI
Medicare PIN000030125WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Waiver 52D0890453

Watertown Regional Medical Center Waterloo Clinic · Waterloo, WI
Active · expires Feb 9, 2028
CLIA Number52D0890453
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDr. Whitney Van Reesen
Laboratory Phone(920) 478-3776
Laboratory LocationWatertown Regional Medical Center Waterloo Clinic111 Anna St, Waterloo, WI 53594
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

JULEE R RADTKE NP
Nurse Practitioner (Adult Health)
111 ANNA ST
WATERLOO, WI 53594
Jefferson County (920) 478-3776
PARK HILL CLINIC, SC
Family Medicine
111 ANNA ST
WATERLOO, WI 53594
Jefferson County (920) 478-3776

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 Watertown Regional Medical Center Inc's NPI number?

The NPI number for Watertown Regional Medical Center Inc is 1427232495. It was assigned to this organization in the NPPES registry on December 26, 2007. The provider is doing business as Uwhp Wrmc Waterloo Clinic.

Where is Watertown Regional Medical Center Inc located?

Watertown Regional Medical Center Inc is located at 111 Anna St, Waterloo, WI 53594. The listed phone number is (920) 478-3776.

What is Watertown Regional Medical Center Inc's specialty?

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

Does Watertown Regional Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0890453) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Watertown Regional Medical Center Inc was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.