UW HEALTH COTTAGE GROVE
NPI 1629038815
Durable Medical Equipment & Medical Supplies in Cottage Grove, WI

Active since March 23, 2006CLIA 52D0918056 · Waiver
4590 COUNTY RD N, COTTAGE GROVE, WI 53527(608) 839-3104(608) 839-3404 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2016, Dec 14, 2015 (2 updates tracked since 2015).

About Uw Health Cottage Grove NPPES

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

UW HEALTH COTTAGE GROVE (NPI 1629038815) is a healthcare organization registered as a durable medical equipment & medical supplies in Cottage Grove, Wisconsin and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Robert Flannery, Cao & Cfo, as its authorized official.

NPPES Registry Identity

NPI1629038815
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameUNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC
Location Address4590 COUNTY RD NCottage Grove, WI 53527-9208
Mailing Address7974 Uw Health CourtMiddleton, WI 53562-5531 · (608) 829-5270 · Fax (608) 833-5039
Fax(608) 839-3404
Organization SubpartNo
Authorized OfficialRobert FlanneryCao & Cfo · (608) 821-4223
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 7, 20162 updates tracked since enumeration
NPI 1629038815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4590 COUNTY RD N, Cottage Grove, WI 53527

Other Names 1

Other NameUw Health Cottage Grove

Other Identifiers 2

Medicaid41734600WI
Medicare NSC1111570035WI

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 52D0918056

Uw Health-Cottage Grove · Cottage Grove, WI
Active · expires Apr 18, 2027
CLIA Number52D0918056
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorAshley K. Stilp
Laboratory Phone(608) 839-3104
Laboratory LocationUw Health-Cottage Grove1110 N Main St, Cottage Grove, WI 53527
CLIA data matches this NPI record on: 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.

Family Medicine
4590 COUNTY RD N
COTTAGE GROVE, WI 53527
Family Medicine
4590 COUNTY RD N
COTTAGE GROVE, WI 53527

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 University Of Wisconsin Medical Foundation Inc's NPI number?

The NPI number for University Of Wisconsin Medical Foundation Inc is 1629038815. It was assigned to this organization in the NPPES registry on March 23, 2006. The provider is also known as Uw Health Cottage Grove.

Where is University Of Wisconsin Medical Foundation Inc located?

University Of Wisconsin Medical Foundation Inc is located at 4590 County Rd N, Cottage Grove, WI 53527. The listed phone number is (608) 839-3104.

What is University Of Wisconsin Medical Foundation Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does University Of Wisconsin Medical Foundation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0918056) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Of Wisconsin Medical Foundation Inc was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.