OrganizationActive
Private Healthcare Facilities
NPI 1568128122 · Birthing Clinic/Center · La Farge, WI
Provider details
- NPI number
- 1568128122
- Entity type
- Organization
- Primary specialty
- Birthing Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Private Healthcare Facilities
- Organization subpart
- Yes
- Authorized official
- Priscilla Hollingsworth, Office Staff(866) 996-2340
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
111 W Main St
La Farge, WI 54639
Phone: (866) 996-2340
Fax: (866) 996-2340
Street-level locationGet directions
Mailing address
902 Kitty Hawk Rd # 170487
Universal City, TX 78148-3825
Registry dates
- Enumerated
- 2021-11-09
- Last updated
- 2024-12-22
- Certified
- 2024-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.