Columbia County HHSD

Organization Active NPI Case Management Agency · Portage, WI

NPI 1114190485 · NPPES record last updated May 2, 2025

Key facts

NPI
1114190485
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
Legal business name
COLUMBIA COUNTY HHSD
Practice address
111 E Mullett St
Portage, WI 53901-2325
Phone
(608) 742-9227
Fax
(608) 742-9700
NPI assigned
Apr 8, 2008
Organization subpart
No

Authorized official

Name
Heather J Gove, CSW, LPC
Title
Director
Phone
(608) 742-9215

Corporate family (same tax ID) 10

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

National Provider Directory

Tax ID family
Columbia Cty Com HLTH S (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Yes

Addresses

Primary practice location

111 E Mullett St
Portage, WI 53901-2325

Mailing address

2652 Murphy Rd
P.O. Box 136
Portage, WI 53901-1094
Phone (608) 742-9227

Other identifiers

IdentifierTypeStateIssuer
43071200MedicaidWI

Other providers in Portage, WI

All providers in Portage, WI · Case Management Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.