NPIMap

Organization Active NPI

Marquette County DHS

  • Case Management Agency
  • Montello, WI
National Provider Identifier
1013182757
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MARQUETTE COUNTY DHS
Practice address
428 Underwood Ave
Montello, WI 53949
Phone
(608) 297-3124
Fax
(608) 297-8718
NPI assigned
Apr 24, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Carol Wright
Title
Director
Phone
(608) 297-3124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

428 Underwood Ave
Montello, WI 53949

Mailing address

428 Underwood Ave
PO Box 405
Montello, WI 53949
Phone (608) 297-3124

Other identifiers 7

IdentifierTypeStateIssuer
32977000MedicaidWI
43073800MedicaidWI
43422000MedicaidWI
43422100MedicaidWI
32977271MedicaidWI
43073900MedicaidWI
43100900MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Marquette County DHS5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

428 Underwood Ave
Montello, WI 53949
Phone (608) 297-3124

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1013182757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 UNDERWOOD AVE",
            "address_2": "PO BOX 405",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "53949",
            "telephone_number": "608-297-3124",
            "fax_number": "608-297-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 UNDERWOOD AVE",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "53949",
            "telephone_number": "608-297-3124",
            "fax_number": "608-297-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE COUNTY DHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-297-3124"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32977000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43073800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43422000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43422100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32977271",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43073900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43100900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montello, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.