MARSHFIELD MEDICAL CENTER - RICE LAKE HOSPITAL INSTYMEDS
NPI 1629475777
Non-Pharmacy Dispensing Site in Rice Lake, WI

Q: What is Lakeview Medical Center Inc Of Rice Lake's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since December 04, 2014CLIA 52D2213976 · Waiver

1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8203(715) 236-6342 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2022, Jul 13, 2021 (2 updates tracked since 2021).

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About Marshfield Medical Center - Rice Lake Hospital Instymeds NPPES

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

MARSHFIELD MEDICAL CENTER - RICE LAKE HOSPITAL INSTYMEDS (NPI 1629475777) is a healthcare organization registered as a non-pharmacy dispensing site in Rice Lake, Wisconsin and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Catherine M Bukowski, Cfo/ao, as its authorized official.

NPPES Registry Identity

NPI1629475777

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameLAKEVIEW MEDICAL CENTER INC OF RICE LAKE

Location Address1700 W STOUT STRice Lake, WI 54868-5000

Mailing Address6501 City West PkwyEden Prairie, MN 55344-3248 · (952) 653-2525

Phone(715) 236-8203

Fax(715) 236-6342

Organization SubpartYesParent: Marshfield Clinic Health System Inc

Authorized OfficialCatherine M BukowskiCfo/ao · (715) 387-9370

Enumeration DateDecember 4, 2014

Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1629475777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1700 W STOUT ST, Rice Lake, WI 54868

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Other Names 1

Doing Business AsMarshfield Medical Center - Rice Lake Hospital Instymeds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.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 52D2213976

Marshfield Medical Center-Rice Lake Clinic · Rice Lake, WI

Active · expires Feb 17, 2027

CLIA Number52D2213976

Laboratory TypeRural Health Clinic

Certificate Effective DateFebruary 18, 2025

Certificate Expiration DateFebruary 17, 2027

Laboratory DirectorDawn Larson

Laboratory Phone(715) 236-8100

Laboratory LocationMarshfield Medical Center-Rice Lake Clinic1700 W Stout St, Rice Lake, WI 54868

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

THOMAS G GERBER JR. MD

Otolaryngology