WATERTOWN MEDICAL CENTER LLC
NPI 1699954222
Medicare Defined Swing Bed Unit in Watertown, WI
NPI Status: Active since October 31, 2007
Contact Information
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
Phone: (920) 261-4210
- Organization
- Medicare Defined Swing Bed Unit
- Accepts Insurance
About WATERTOWN MEDICAL CENTER LLC
This page provides the complete NPI Profile along with additional information for Watertown Medical Center Llc, a provider established in Watertown, Wisconsin operating as a Medicare Defined Swing Bed Unit. The healthcare provider is registered in the NPI registry with number 1699954222 assigned on October 2007. The practitioner's primary taxonomy code is 275N00000X with license number 391030310 (WI). The provider is registered as an organization and their NPI record was last updated June 2025. The provider's
- NPI
- 1699954222
- Provider Legal Name
- WATERTOWN MEDICAL CENTER LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 125 HOSPITAL DR WATERTOWN, WI 53098
- Location Phone
- (920) 261-4210
- Mailing Address
- 680 S 4TH ST LOUISVILLE, KY 40202
- Mailing Phone
- (502) 596-6063
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-31-2007
- Last Update Date
- 06-25-2025
- Code Navigator
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
Medicare Defined Swing Bed Unit
- Taxonomy Code
- 275N00000X
- Type
- Hospital Units
- License No.
- 391030310
- License State
- WI
- Taxonomy Description
- A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- CGHC Gold $3000 - Envision Network (Vision Exam) - EPO
- CGHC Gold Standard $1500 - Envision Network - EPO
- CGHC Gold Standard $1500 - Envision Network (Vision Exam) - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network - EPO
- CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network - EPO
- CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Silver Standard $5000 - Envision Network - EPO
- CGHC Silver Standard $5000 - Envision Network (Vision Exam) - EPO
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
11015400 | MEDICAID (05) | WI |
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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. | |||||||||
1 | 6 | 9 | 9 | 9 | 5 | 4 | 2 | 2 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 18 | 9 | 18 | 5 | 8 | 2 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 8 + 9 + 1 + 8 + 5 + 8 + 2 + 4 + 24 = 78 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 78 = 2 | 2 |
The NPI number 1699954222 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
WATERTOWN REGIONAL MEDICAL CENTER, INC
Home Health
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
JASON H LEE MD
Emergency Medicine
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
WATERTOWN ANESTHESIOLOGY SC
Anesthesiology
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
WATERTOWN EMERGENCY PHYSICIANS
General Acute Care Hospital
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
WATERTOWN EMERGENCY PHYSICIANS, S.C.
Clinic/Center
(Emergency Care)
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
WATERTOWN MEMORIAL HOSPITAL ASSOCIATION INC
Pharmacy
(Institutional Pharmacy)
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MR. JEFFERY ALLEN AUSSPRUNG ATC
Specialist/Technologist
(Athletic Trainer)
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
NOAH ECKL LAT
Specialist/Technologist
(Athletic Trainer)
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MRS. MARCI R FOUTCH COTA
Occupational Therapy Assistant
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
JENNIFER RAE DRAEGER MPT
Physical Therapist
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MRS. KIMBERLY ANN THEISEN PTS
Physical Therapy Assistant
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MS. REBECCA M ALTSHULL RD
Dietitian, Registered
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
BRITTANY POLLENTIER PT
Physical Therapist
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MS. KAY ELIZABETH LAPIN PTA
Physical Therapy Assistant
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MRS. LAURIE E MITCHELL P.T.
Physical Therapist
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
TOBY SCOTT NICHOLSON A.T.C.
Specialist/Technologist
(Athletic Trainer)
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MS. JULIE PATRICE AMUNDSON MPT
Physical Therapist
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MRS. LINDA SUE BUDDE P.T.A.
Physical Therapy Assistant
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MRS. MARGARET MARY GORA OTR
Occupational Therapist
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
MRS. SHERRY ANN STRUPP PT
Physical Therapist
125 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699954222, enumerated as an "organization" on October 31, 2007.
The provider is located at 125 HOSPITAL DR WATERTOWN, WI 53098 and the phone number is (920) 261-4210.
Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
The provider might be accepting Accepts: Common Ground Healthcare Cooperative, Dean Health. Please consult your insurance carrier or call the provider to verify.