NPIMap

Organization Active NPI

Winnebago County

  • Public Health or Welfare Agency
  • Winnebago, WI
National Provider Identifier
1154318657
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WINNEBAGO COUNTY
Practice address
725 Butler Ave
Winnebago, WI 54985-0068
Phone
(920) 232-3000
Fax
(920) 303-3023
NPI assigned
Sep 30, 2005
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Douglas Gieryn, B.S.
Title
Director/Health Officer
Phone
(920) 232-3000

Specialties & licenses 1

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

Addresses

Primary practice location

725 Butler Ave
Winnebago, WI 54985-0068

Mailing address

PO Box 68
725 Butler Ave
Winnebago, WI 54985-0068
Phone (920) 232-3000

Other identifiers 4

IdentifierTypeStateIssuer
43104000MedicaidWI
44003400MedicaidWI
43082500MedicaidWI
41855400MedicaidWI

National Provider Directory

National Provider Directory

Locations

211 N Commercial St
Neenah, WI 54956
Phone (920) 236-4600

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1154318657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "address_2": "725 BUTLER AVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850068",
            "telephone_number": "920-232-3000",
            "fax_number": "920-303-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BUTLER AVE",
            "city": "WINNEBAGO",
            "state": "WI",
            "postal_code": "549850068",
            "telephone_number": "920-232-3000",
            "fax_number": "920-303-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNEBAGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "GIERYN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DIRECTOR/HEALTH OFFICER",
        "authorized_official_telephone_number": "920-232-3000",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43104000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44003400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43082500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41855400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.