Organization Active NPI

County of Marquette

  • Public Health or Welfare Agency
  • Montello, WI
National Provider Identifier
1093734162
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF MARQUETTE
Practice address
480 Underwood Avenue
Montello, WI 53949-0181
Phone
(608) 297-3135
Fax
(608) 297-8923
NPI assigned
Jul 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Suzanne McCartney
Title
Director Health Officer
Phone
(608) 297-9116

Other NPIs with the same Medicare PAC ID 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100414000379 WI Part B Supplier - Mass Immunization (Roster Biller Only) 6002942596 Practice locations: Montello, WI

National Provider Directory

National Provider Directory
Tax ID family
County of Marquette5 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

77 W Park St
Montello, WI 53949

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

480 Underwood Avenue
Montello, WI 53949-0181

Mailing address

PO Box 129
77 West Park Street
Montello, WI 53949-0129
Phone (608) 297-3001

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
41850900MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2009.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1093734162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "address_2": "77 WEST PARK STREET",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539490129",
            "telephone_number": "608-297-3001",
            "fax_number": "608-297-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 UNDERWOOD AVENUE",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539490181",
            "telephone_number": "608-297-3135",
            "fax_number": "608-297-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MARQUETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR  HEALTH OFFICER",
        "authorized_official_telephone_number": "608-297-9116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41850900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montello, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.