Source One Healthcare a Division of Phillips Pharmacies
NPI 1205997517 · Health Maintenance Organization · Mauston, WI
Source One Healthcare a Division of Phillips Pharmacies is a Health Maintenance Organization organization in Mauston, WI (NPI 1205997517).
Provider details
- NPI number
- 1205997517
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Parent organization
- Phillips Drug Store Inc.
- Organization subpart
- Yes
- Authorized official
- Wayne Macardy, President(800) 779-1276
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Other name
- Sourceone Healthcare
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2007-11-13
Frequently asked questions
- What is Source One Healthcare a Division of Phillips Pharmacies's NPI number?
- Source One Healthcare a Division of Phillips Pharmacies's National Provider Identifier (NPI) is 1205997517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Source One Healthcare a Division of Phillips Pharmacies?
- Source One Healthcare a Division of Phillips Pharmacies is classified in the NPPES registry as Health Maintenance Organization (Managed Care Organizations).
- Where is Source One Healthcare a Division of Phillips Pharmacies located?
- Source One Healthcare a Division of Phillips Pharmacies's practice location on file with NPPES is 123 E State St, Mauston, WI 53948-1344.
- What is Source One Healthcare a Division of Phillips Pharmacies's phone number?
- The practice phone number listed in the NPPES registry for Source One Healthcare a Division of Phillips Pharmacies is (800) 779-1276.
- Who is the authorized official for Source One Healthcare a Division of Phillips Pharmacies?
- The authorized official listed on Source One Healthcare a Division of Phillips Pharmacies's NPPES record is Wayne Macardy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Source One Healthcare a Division of Phillips Pharmacies's NPI active?
- Yes — Source One Healthcare a Division of Phillips Pharmacies's NPI (1205997517) is active in the NPPES registry as of the last update on 2007-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.