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NPI · 1497832257 · NPPES-sourced

Randolph Community Clinic Sc

ActiveFamily Medicine
NPI Number
1497832257
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(920) 326-5060
License WI · 36988020
Last Updated
Enumerated
Primary practice addressWI · 53956
504 S High StreetRandolph, WI 53956
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About this NPIWhat this record shows.

NPI 1497832257 is registered to Randolph Community Clinic Sc, a healthcare organisation classified as "Family Medicine" and located at 504 S High Street in Randolph, Wisconsin. The organisation's authorised official is Melissa Lucarelli. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • N96· Issued by DEAN HEALTH PLAN
  • CH8761· Issued by RAILROAD MEDICARE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Randolph Community Clinic Sc accepts. To confirm in-network status with your specific health plan, contact Randolph Community Clinic Sc directly at (920) 326-5060.

Frequently asked

Yes. NPI 1497832257 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (920) 326-5060.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Randolph Community Clinic Sc is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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