OrganizationActive
Edge Medical Services
NPI 1063951176 · Birthing Clinic/Center · Superior, WI
Provider details
- NPI number
- 1063951176
- Entity type
- Organization
- Primary specialty
- Birthing Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Edge Medical Services
- Organization subpart
- Yes
- Authorized official
- Victoria Lee, Admin(800) 348-4623
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2406 Hughitt Ave
Superior, WI 54880-4944
Phone: (800) 348-4623
Street-level locationGet directions
Mailing address
1141 N Loop 1604 E # 105187
San Antonio, TX 78232-1339
Registry dates
- Enumerated
- 2017-02-22
- Last updated
- 2020-04-15
- Certified
- 2020-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.