Provider Demographics
NPI:1467847509
Name:HEALTH GRADES
Entity Type:Organization
Organization Name:HEALTH GRADES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:STAMM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:608-577-4582
Mailing Address - Street 1:1002 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-1102
Mailing Address - Country:US
Mailing Address - Phone:608-385-9122
Mailing Address - Fax:
Practice Address - Street 1:2927 COHO ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-3069
Practice Address - Country:US
Practice Address - Phone:608-692-2617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH GRADES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service