NPIMap

Organization Active NPI

Dodge County Medical Facilities

Doing business as Clearview Behavioral Health 3

  • Skilled Nursing Facility
  • Juneau, WI
National Provider Identifier
1043720352
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5049 Issued in WI
Legal business name
DODGE COUNTY MEDICAL FACILITIES
Doing business as
Clearview Behavioral Health 3
Practice address
198 County DF
Juneau, WI 53039-9515
Phone
(920) 386-3400
Fax
(920) 386-4168
NPI assigned
Oct 2, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Jane Elizabeth Hooper
Title
Executive Director
Phone
(920) 386-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5049 WI Primary

Addresses

Primary practice location

198 County DF
Juneau, WI 53039-9515

Mailing address

198 County DF
Juneau, WI 53039-9515
Phone (920) 386-3400

Other identifiers 1

IdentifierTypeStateIssuer
5049OtherWI314000000X

Other names 1

  • Clearview Behavioral Health 3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dodge County Physician12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1043720352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 COUNTY DF",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530399515",
            "telephone_number": "920-386-3400",
            "fax_number": "920-386-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 COUNTY DF",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530399515",
            "telephone_number": "920-386-3400",
            "fax_number": "920-386-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODGE COUNTY MEDICAL FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-386-3400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "314000000X",
            "identifier": "5049",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview Behavioral Health 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juneau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.