HEART FAILURE SURVIVAL CENTER OF AMERICA SC
NPI 1619341815
Internal Medicine - Cardiovascular Disease in Marinette, WI

Q: What is Heart Failure Survival Center Of America Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 25, 2015CLIA 52D2151408 · Waiver

1281 MARINETTE AVE, MARINETTE, WI 54143(715) 330-7090(715) 732-0828 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2022, Jul 21, 2020, Jul 16, 2020 and 2 more (5 updates tracked since 2015).

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About Heart Failure Survival Center Of America Sc NPPES

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

HEART FAILURE SURVIVAL CENTER OF AMERICA SC (NPI 1619341815) is a healthcare organization registered as a cardiovascular disease in Marinette, Wisconsin and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through July 17, 2028, maintains 2 additional practice locations, and lists Brenda M Quaak, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1619341815

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameHEART FAILURE SURVIVAL CENTER OF AMERICA SC

Location Address1281 MARINETTE AVEMarinette, WI 54143-2018

Mailing Address1281 Marinette AveMarinette, WI 54143-2018 · (715) 330-7090 · Fax (715) 732-0828

Phone(715) 330-7090

Fax(715) 732-0828

Organization SubpartNo

Authorized OfficialBrenda M QuaakProject Manager · (715) 330-7090

Enumeration DateNovember 25, 2015

Last NPPES UpdateDecember 14, 20225 updates tracked since enumeration

NPPES CertifiedDecember 14, 2022

✔ NPI 1619341815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in WI · 47840-20

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

1281 MARINETTE AVE, Marinette, WI 54143

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Secondary Practice Locations 2

Location 1515 N US Highway 141Crivitz, WI 54114-1639 · Phone (715) 854-7050 · Fax (715) 854-3485

Location 21818 E Wisconsin AveAppleton, WI 54911-4051 · Phone (920) 939-6058 · Fax (920) 939-6059

Other Identifiers 1

Medicaid100053346WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

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 52D2151408

Heart Failure Survival Center Of America · Marinette, WI

Active · expires Jul 17, 2028

CLIA Number52D2151408

Laboratory TypePhysician Office

Certificate Effective DateJuly 18, 2026

Certificate Expiration DateJuly 17, 2028

Laboratory DirectorDr. Yasser Salem

Laboratory Phone(920) 939-6058

Laboratory LocationHeart Failure Survival Center Of America1281 Marinette Ave, Marinette, WI 54143

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 7

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

DR. YASSER S SALEM MD

Internal Medicine (Cardiovascular Disease)