NPIMap

Organization Active NPI

Rusk County

  • Case Management Agency
  • Ladysmith, WI
National Provider Identifier
1003097809
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
RUSK COUNTY
Practice address
311 Miner Ave E Ste C240
Ladysmith, WI 54848-2826
Phone
(715) 532-2299
Fax
(715) 532-2126
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Rivers
Title
Director
Phone
(715) 532-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

311 Miner Ave E Ste C240
Ladysmith, WI 54848-2826

Mailing address

311 Miner Ave E Ste C240
Ladysmith, WI 54848-2826
Phone (715) 532-2299

Other identifiers 1

IdentifierTypeStateIssuer
43075300MedicaidWI

Other names 1

  • Rusk Co Dept Health & Human Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Rusk Co Mem Hosp10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1003097809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MINER AVE E STE C240",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548482826",
            "telephone_number": "715-532-2299",
            "fax_number": "715-532-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MINER AVE E STE C240",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548482826",
            "telephone_number": "715-532-2299",
            "fax_number": "715-532-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-532-2299"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43075300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rusk Co Dept Health & Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ladysmith, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.