NPIMap

Organization Active NPI

Arc Community Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fond Du Lac, WI
National Provider Identifier
1104417534
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ARC COMMUNITY SERVICES, INC.
Practice address
27 East 3Rd St., #208
Fond Du Lac, WI 54935
Phone
(920) 907-0460
NPI assigned
Jan 28, 2021
Organization subpart
Yes
Parent organization
ARC COMMUNITY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Authorized official

Name
Robin Ryan
Title
Chief Operating Officer
Phone
(608) 278-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

27 East 3Rd St., #208
Fond Du Lac, WI 54935

Mailing address

2001 W Beltline Hwy Ste 102
Madison, WI 53713-2366
Phone (608) 278-2300

Other names 1

  • ARC Fond du Lac Other name

National Provider Directory

National Provider Directory
Tax ID family
Arc Community Services Inc7 organizations share this tax ID, including this one
Part of
Arc Community Services Inc

Other organizations with this tax ID 6

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

Locations

27 3rd St
Apt 208
Fond du Lac, WI 54935
Phone (920) 907-0460

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1104417534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BELTLINE HWY STE 102",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132366",
            "telephone_number": "608-278-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 EAST 3RD ST., #208",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-907-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC COMMUNITY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARC COMMUNITY SERVICES, INC.",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "608-278-2300"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Fond du Lac",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.