NPIMap

Organization Active NPI

County of Marinette

Doing business as Marinette County Health & Human Services

  • Community Health Clinic/Center
  • Marinette, WI
National Provider Identifier
1063581759
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
COUNTY OF MARINETTE
Doing business as
Marinette County Health & Human Services
Practice address
2500 Hall Ave Suite B
Marinette, WI 54143
Phone
(715) 732-7700
Fax
(715) 732-7766
NPI assigned
Nov 7, 2006
Last updated
Sep 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Mr. Robin Gerald Elsner
Title
Health & Human Services Director
Phone
(715) 732-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

2500 Hall Ave Suite B
Marinette, WI 54143

Mailing address

2500 Hall Ave Suite B
Marinette, WI 54143
Phone (715) 732-7700

Other identifiers 1

IdentifierTypeStateIssuer
43426900MedicaidWI

Other names 1

  • Marinette County Health & Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adapt-Marinette Co HSD13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

2500 Hall Ave
Ste A
Marinette, WI 54143
Phone (715) 732-7760

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1063581759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HALL AVE SUITE B",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-732-7700",
            "fax_number": "715-732-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HALL AVE SUITE B",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "54143",
            "telephone_number": "715-732-7700",
            "fax_number": "715-732-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MARINETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "ELSNER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "HEALTH & HUMAN SERVICES DIRECTOR",
        "authorized_official_telephone_number": "715-732-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43426900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marinette County Health & Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marinette, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.