NPIMap

Organization Active NPI

Eau Claire County Department of Human Services

  • Community/Behavioral Health Agency
  • Eau Claire, WI
National Provider Identifier
1053509174
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1293 Issued in WI
Legal business name
EAU CLAIRE COUNTY DEPARTMENT OF HUMAN SERVICES
Practice address
721 Oxford Ave
Eau Claire, WI 54703-5212
Phone
(715) 839-2300
Fax
(715) 831-5784
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Mr. Roy Sargeant, ACSW
Title
Director
Phone
(715) 839-6914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1293 WI Primary

Addresses

Primary practice location

721 Oxford Ave
Eau Claire, WI 54703-5212

Mailing address

721 Oxford Ave
Eau Claire, WI 54703-5212
Phone (715) 839-2300

Other identifiers 1

IdentifierTypeStateIssuer
43420700MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Eau Claire County Dept of Human Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1053509174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212",
            "telephone_number": "715-839-2300",
            "fax_number": "715-831-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212",
            "telephone_number": "715-839-2300",
            "fax_number": "715-831-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAU CLAIRE COUNTY DEPARTMENT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SARGEANT",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-839-6914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43420700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.