NPIMap

Organization Active NPI

Bayfield County Department of Human Services

  • Community/Behavioral Health Agency
  • Washburn, WI
National Provider Identifier
1043634595
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES
Practice address
117 E 5TH St
Washburn, WI 54891-4522
Phone
(715) 373-6144
Fax
(715) 373-6130
NPI assigned
Feb 4, 2014
Last updated
Feb 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Authorized official

Name
Ms. Elizabeth A Skulan
Title
Director
Phone
(715) 373-6144

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X WI
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

117 E 5TH St
Washburn, WI 54891-4522

Mailing address

PO Box 100
117 East Fifth Street
Washburn, WI 54891-0100
Phone (715) 373-6144

Other identifiers 1

IdentifierTypeStateIssuer
1801085451MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Bayfield County Health5 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

117 E 5th St
Washburn, WI 54891
Phone (715) 373-6109

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1043634595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "address_2": "117 EAST FIFTH STREET",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548910100",
            "telephone_number": "715-373-6144",
            "fax_number": "715-373-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 5TH ST",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548914522",
            "telephone_number": "715-373-6144",
            "fax_number": "715-373-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "SKULAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-373-6144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801085451",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.