County of Lincoln

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF LINCOLN

Doing business as

Lincoln County Health Department

Practice address

607 N Sales St
Merrill, WI 54452-1624

Phone

(715) 536-0307

Fax

(715) 536-2011

NPI assigned

Sep 24, 2007

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shelley Kay Hersil, CHES

Title

Health Officer

Phone

(715) 536-0307

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Lincoln County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Lincoln

  dba Lincoln County EMS

  • Land Ambulance
  • Merrill, WI
  • NPI 1841293768

  4880753425

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Lincoln3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of Lincoln

  dba Lincoln County EMS

  • Land Ambulance
  • Merrill, WI
  • NPI 1841293768
  NPD tax ID
• Lincoln County 51.437 Services

  • Case Management Agency
  • Merrill, WI
  • NPI 1457528598
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Robert Clark, MD, MPH

  • Emergency Medicine Physician
  • Schofield, WI
  • NPI 1396944237
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1083800064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 N SALES ST STE 101",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521624",
            "telephone_number": "715-536-0307",
            "fax_number": "715-536-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N SALES ST",
            "city": "MERRILL",
            "state": "WI",
            "postal_code": "544521624",
            "telephone_number": "715-536-0307",
            "fax_number": "715-536-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LINCOLN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "HERSIL",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "715-536-0307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHES"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41860300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LAB OF HYGIENE",
            "identifier": "541",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44019000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMO - SHP",
            "identifier": "9-419-436",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Ann Champion
• Charles a. Sowieja, D.D.S., S.C.
• Charles Royden Staubs, LLC
• Meagan Chasteene, LPC-IT
• Jeffrey K Chism, DPM
• County of Lincoln (Pine Crest Nursing Home)
• County of Lincoln (Lincoln County EMS)
• Cpi Merrill LLC (Badger Family Pharmacy Merrill)
• Barbara B Crapster-Pregont, MD
• Mark Crapster-Pregont, MD

• Public Health or Welfare Agency in Merrill, WI
• Providers in Merrill, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.