CMS-1500 Box 24J / 33a • NPI
1194843284
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
332900000X
Licensed & Credentialed Non-Pharmacy Dispensing Site
Box 32 Service Location & ZIP+4
76 W 3RD ST, WINONA, MN, 55987-3431
✓ 9-Digit EDI 837 ZIP+4 (55987-3431)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1194843284 (SEMCAC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1194843284 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | SEMCAC |
| Plain-English Specialty | Licensed & Credentialed Non-Pharmacy Dispensing Site NUCC Code: 332900000X (Non-Pharmacy Dispensing Site) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 76 W 3RD ST, WINONA, MN, 55987-3431 |
| Practice Telephone / Fax | Tel: (507) 452-4307 | Fax: (507) 457-0564 |
| Administrative Mailing Address | PO BOX 549, RUSHFORD, MN, 55971-0549 |
| Enumeration & Last Sync | Enumerated: 2007-03-27 | CMS Record Updated: 2020-08-22 |
| Authorized Official | JOYCE PECKOVER (Health Services Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in WINONA
🔒 Are you SEMCAC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (332900000X)
What Does Taxonomy Code 332900000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 332900000X translates to:
"Licensed & Credentialed Non-Pharmacy Dispensing Site"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SEMCAC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332900000X — Non-Pharmacy Dispensing SitePlain English: Licensed & Credentialed Non-Pharmacy Dispensing Site | State: MN | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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