1. Home
  2. Directory
  3. Wisconsin
  4. Waterloo
  5. Family Medicine
  6. NPI Profile

PARK HILL CLINIC, SC
NPI 1760409536
Family Medicine in Waterloo, WI

Active since July 16, 2006
111 ANNA ST, WATERLOO, WI 53594(920) 478-3776(920) 478-3979 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Hill Clinic, Sc NPPES

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

PARK HILL CLINIC, SC (NPI 1760409536) is a healthcare organization registered as a family medicine in Waterloo, Wisconsin and active in the NPI registry since July 2006. The organization lists Marlys Schmidt, Cco, as its authorized official.

NPPES Registry Identity

NPI1760409536
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePARK HILL CLINIC, SC
Location Address111 ANNA STWaterloo, WI 53594-1184
Mailing Address111 Anna StWaterloo, WI 53594-1184 · (920) 478-3776 · Fax (920) 478-3979
Phone(920) 478-3776
Fax(920) 478-3979
Organization SubpartNo
Authorized OfficialMarlys SchmidtCco · (920) 478-3776
Enumeration DateJuly 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760409536 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
Open in Google Maps ↗

Other Identifiers 1

OtherP37WI · Dean Health Care Pcp #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
WATERTOWN REGIONAL MEDICAL CENTER INC
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 Park Hill Clinic, Sc's NPI number?

The NPI number for Park Hill Clinic, Sc is 1760409536. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Park Hill Clinic, Sc located?

Park Hill Clinic, Sc is located at 111 Anna St, Waterloo, WI 53594. The listed phone number is (920) 478-3776.

What is Park Hill Clinic, Sc's specialty?

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

When was this NPI record last updated?

The NPPES record for Park Hill Clinic, Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.