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AFFILIATED CLINICAL SERVICES INC
NPI 1851473698
Clinic/Center - Multi-Specialty in West Bend, WI

Active since October 20, 2006CLIA 52D2019162 · Waiver
111 E WASHINGTON ST, WEST BEND, WI 53095(262) 338-2717(262) 338-9767 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 22, 2017 (2 updates tracked since 2017).

About Affiliated Clinical Services Inc NPPES

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

AFFILIATED CLINICAL SERVICES INC (NPI 1851473698) is a healthcare organization registered as a multi-specialty in West Bend, Wisconsin and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Kelli Feucht, Assistant Business Manager, as its authorized official.

NPPES Registry Identity

NPI1851473698
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameAFFILIATED CLINICAL SERVICES INC
Location Address111 E WASHINGTON STWest Bend, WI 53095-2571
Mailing Address111 E Washington StWest Bend, WI 53095-2571 · (262) 338-2717 · Fax (262) 338-9767
Phone(262) 338-2717
Fax(262) 338-9767
Organization SubpartNo
Authorized OfficialKelli FeuchtAssistant Business Manager · (262) 338-2717
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1851473698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
111 E WASHINGTON ST, West Bend, WI 53095
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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 52D2019162

Affiliated Clinical Services · West Bend, WI
Active · expires Jan 23, 2027
CLIA Number52D2019162
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Rajesh Kumar
Laboratory Phone(262) 338-2717
Laboratory LocationAffiliated Clinical Services111 E Washington St, West Bend, WI 53095
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 20

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

TIFFANY DUBEY LCSW, SAC-IT
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
ALYSSA SEKADLO
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
DANIEL BARANEK
Counselor (Professional)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
ABBY LOUISE JANSSEN LCSW
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
JULIE ANNE ROCHELEAU LPC, SAC
Counselor (Professional)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
RYANNE BETH WENDT LCSW
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
SHANNON JOHNSON
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
MS. LONNA LEE TAYLOR MS RN APNP
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717

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 Affiliated Clinical Services Inc's NPI number?

The NPI number for Affiliated Clinical Services Inc is 1851473698. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Affiliated Clinical Services Inc located?

Affiliated Clinical Services Inc is located at 111 E Washington St, West Bend, WI 53095. The listed phone number is (262) 338-2717.

What is Affiliated Clinical Services Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Affiliated Clinical Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2019162) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Affiliated Clinical Services Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Affiliated Clinical Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Affiliated Clinical Services Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.