NPIMap

Organization Active NPI

Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

Doing business as Sauk/Columbia IOP Program

  • Multi-Specialty Clinic/Center
  • Baraboo, WI
National Provider Identifier
1144995077
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Doing business as
Sauk/Columbia IOP Program
Practice address
414 Broadway St Ste 101
Baraboo, WI 53913-2488
Phone
(608) 448-1011
Fax
(608) 355-4106
NPI assigned
Aug 12, 2021
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Tara Treglowne
Title
Coo
Phone
(414) 246-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

414 Broadway St Ste 101
Baraboo, WI 53913-2488

Mailing address

727 8TH St
Baraboo, WI 53913-1794
Phone (608) 448-1011

Other names 1

  • Sauk/Columbia IOP Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Social Serv14 organizations share this tax ID, including this one
Part of
Lutheran Social Serv

Other organizations with this tax ID 13

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

View all 13

Locations

414 Broadway St
Ste 101
Baraboo, WI 53913
Phone (608) 355-4103

727 8th St
Baraboo, WI 53913
Phone (608) 220-4256

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1144995077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 8TH ST",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539131794",
            "telephone_number": "608-448-1011",
            "fax_number": "608-355-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BROADWAY ST STE 101",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "539132488",
            "telephone_number": "608-448-1011",
            "fax_number": "608-355-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "TREGLOWNE",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "414-246-2300"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sauk/Columbia IOP Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.