Great River Community Medical Clinic SC
NPI 1659539203ActiveOrganization· Family Medicine· Prairie Du Chien, WI
Family Medicine in Prairie Du Chien, Wisconsin, registered in NPPES in May 2008. The authorized official on file is Mark A. Grunwald, MD, President.
Overview
| NPI | 1659539203 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2008 |
| Last updated in NPPES | Oct 6, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 23439 | WI |
| Family Medicine | 207Q00000X | 23379 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 18 family medicine physicians in Prairie Du Chien · All family medicine physicians in Wisconsin