Organization Active NPI

County of Dunn

Doing business as Dunn County Department of Health

  • Public Health or Welfare Agency
  • Menomonie, WI
National Provider Identifier
1003801838
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF DUNN
Doing business as
Dunn County Department of Health
Practice address
3001 US Highway 12 E
Menomonie, WI 54751-3044
Phone
(715) 232-2388
Fax
(715) 232-1132
NPI assigned
Sep 19, 2005
Organization subpart
Yes
Parent organization
COUNTY OF DUNNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Jane Hansen
Title
Accounting Manager
Phone
(715) 231-4586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X WI Primary

Addresses

Primary practice location

3001 US Highway 12 E
Menomonie, WI 54751-3044

Mailing address

3001 US Highway 12 E
Menomonie, WI 54751-3044
Phone (715) 231-4586

Other identifiers 4

IdentifierTypeStateIssuer
44005500MedicaidWI
41853500MedicaidWI
42009600MedicaidWI
43085800MedicaidWI

Other names 1

  • Dunn County Department of Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120508000020 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2668497538 Practice locations: Menomonie, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dunn Co Dept-Human SRV9 organizations share this tax ID, including this one
Part of
Dunn Co Dept-Human SRV

Other organizations with this tax ID 8

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

Locations

3001 US Highway 12 E
Ste O32
Menomonie, WI 54751

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Neighbors - Central NeighborhoodMenomonie, WI, CCN 525433 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
May 18, 2010
Jan 1, 2021
Jan 1, 1900
The Neighbors - East NeighborhoodMenomonie, WI, CCN 525713 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Jan 1, 2013
Jan 1, 2013
Jan 2, 1961
The Neighbors - West NeighborhoodMenomonie, WI, CCN 525714 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF
Aug 1, 2013
Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1003801838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513044",
            "telephone_number": "715-231-4586",
            "fax_number": "715-232-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513044",
            "telephone_number": "715-232-2388",
            "fax_number": "715-232-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DUNN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF DUNN",
        "enumeration_date": "2005-09-19",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "715-231-4586"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44005500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41853500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42009600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43085800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunn County Department of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Menomonie, WI

Sources for this page

Verify at the official NPI Registry.