NPIMap

Organization Active NPI

County of Shawano

  • State or Local Public Health Clinic/Center
  • Shawano, WI
National Provider Identifier
1174716385
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF SHAWANO
Practice address
311 N Main St RM 7
Shawano, WI 54166-2145
Phone
(715) 526-4808
Fax
(715) 524-5792
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Mrs. Rebecca Hovarter
Title
Health Officer
Phone
(715) 526-4805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

311 N Main St RM 7
Shawano, WI 54166-2145

Mailing address

311 N Main St RM 7
Shawano, WI 54166-2145
Phone (715) 526-4808

Other identifiers 1

IdentifierTypeStateIssuer
41851200MedicaidWI

Other names 1

  • Shawano County Health Department Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

311 N Main St
Rm 7
Shawano, WI 54166
Phone (715) 526-4808

W7327 Anderson Ave
Shawano, WI 54166
Phone (715) 524-6884

311 N Main St
Shawano, WI 54166
Phone (715) 526-2822

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1174716385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N MAIN ST RM 7",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662145",
            "telephone_number": "715-526-4808",
            "fax_number": "715-524-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N MAIN ST RM 7",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662145",
            "telephone_number": "715-526-4808",
            "fax_number": "715-524-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHAWANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "HOVARTER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "715-526-4805",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41851200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shawano County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.