NPIMap

Organization Active NPI

Juneau County

Doing business as Juneau Counth Health Dept

  • Public Health or Welfare Agency
  • Mauston, WI
National Provider Identifier
1093872285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
66051030 Issued in WI
Legal business name
JUNEAU COUNTY
Doing business as
Juneau Counth Health Dept
Practice address
220 E State St RM 104
Mauston, WI 53948-1348
Phone
(608) 847-9373
Fax
(608) 847-9407
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lori Leigh Chipman, C.P.A.
Title
Accountant
Phone
(608) 847-9309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 66051030 WI Primary

Addresses

Primary practice location

220 E State St RM 104
Mauston, WI 53948-1348

Mailing address

220 E State St RM 203
Mauston, WI 53948-1347
Phone (608) 847-9309

Other names 1

  • JUNEAU COUNTH HEALTH DEPT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060201000685 WI Part B Supplier - Mass Immunization (Roster Biller Only) 5395759047 Practice locations: Mauston, WI

Other NPIs with the same Medicare PAC ID 1

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

  • Juneau County

    dba Juneau County Department of Human Services

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Mauston, WI
    • NPI 1487691697

    5395759047

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Juneau County3 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.

  • Juneau County

    dba Juneau County Department of Human Services

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Mauston, WI
    • NPI 1487691697
    NPD tax ID
  • Juneau County

    dba Juneau County Department of Human Services/CLTS

    • Case Management Agency
    • Mauston, WI
    • NPI 1538960992
    NPD tax ID

Locations

200 S Hickory St
Mauston, WI 53948
Phone (608) 847-2400

220 E State St
Rm 104
Mauston, WI 53948
Phone (608) 847-9373

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093872285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E STATE ST RM 203",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481347",
            "telephone_number": "608-847-9309",
            "fax_number": "608-847-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E STATE ST RM 104",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481348",
            "telephone_number": "608-847-9373",
            "fax_number": "608-847-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNEAU COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHIPMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "608-847-9309",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": "66051030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUNEAU COUNTH HEALTH DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mauston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.