BRIDGE COMMUNITY HEALTH CLINIC – NPI #1265723688
Clinic/Center

BRIDGE COMMUNITY HEALTH CLINIC is an AHC clinic located in MERRILL, WI. NPPES has assigned the NPI number 1265723688 to BRIDGE COMMUNITY HEALTH CLINIC on April 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRIDGE COMMUNITY HEALTH CLINIC” is a dba name, the actual legal business name for this organization is PRIMARY CONNECTION HEALTH CARE, INC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIDGE COMMUNITY HEALTH CLINIC below.

NPI Profile for
PRIMARY CONNECTION HEALTH CARE, INC

NPI Number
1265723688
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIMARY CONNECTION HEALTH CARE, INC
Doing Business As (dba): BRIDGE COMMUNITY HEALTH CLINIC
Primary location
401 W. MAIN STREET
MERRILL, WI 54452
Phone: (715) 539-8181 Fax: (715) 539-8109
Mailing address
1810 N 2ND STREET
WAUSAU, WI 54403
Phone: (715) 848-4884 Fax: (715) 845-5385
Organization Subpart
Yes - BRIDGE COMMUNITY HEALTH CLINIC is subpart of another organization.
Authorized Official
LAURA SCUDIERE
EXECUTIVE DIRECTOR
Phone: (715) 848-4884
Updated
Identifiers

Identifiers for BRIDGE COMMUNITY HEALTH CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI32956400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.