Organization Active NPI

Oconto County Health and Human Services

  • Community Health Clinic/Center
  • Oconto, WI
National Provider Identifier
1003215476
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
OCONTO COUNTY HEALTH AND HUMAN SERVICES
Practice address
501 Park Ave
Oconto, WI 54153-1612
Phone
(920) 834-7000
NPI assigned
Aug 21, 2014
Last updated
Aug 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Scott Shackelford
Title
Director
Phone
(920) 834-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

501 Park Ave
Oconto, WI 54153-1612

Mailing address

501 Park Ave
Oconto, WI 54153-1612
Phone (920) 834-7000

National Provider Directory

National Provider Directory
Tax ID family
Oconto County Human SVC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1003215476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PARK AVE",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531612",
            "telephone_number": "920-834-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARK AVE",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531612",
            "telephone_number": "920-834-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONTO COUNTY HEALTH AND HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-834-7000"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconto, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.