County of Portage

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2394 Issued in WI

Legal business name

COUNTY OF PORTAGE

Doing business as

Portage County Health Care Center

Practice address

825 Whiting Ave
Stevens Point, WI 54481-5246

Phone

(715) 346-1375

Fax

(715) 346-1628

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Marcia McDonald

Title

Administrator

Phone

(715) 346-1497

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portage County Health Care Center Doing business as

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1003819491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WHITING AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815246",
            "telephone_number": "715-346-1375",
            "fax_number": "715-346-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WHITING AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815246",
            "telephone_number": "715-346-1375",
            "fax_number": "715-346-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PORTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-346-1497"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20134800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage County Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• London L Cooper, DDS
• Timothy J Cooper, DDS
• Copperleaf Home Health Inc
• Megan B Cordner
• Jeana L. Council, PH.D.
• County of Portage (Portage County Ambulance)
• County of Portage
• County of Portage (County of Portage-Aging & Disability Resource Center)
• Courtesy Carriers, Inc.
• Jodi L Cox, LAT, ATC

• Skilled Nursing Facility in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.