Organization Active NPI

Manitowoc Co Human Services Dept.

  • Community/Behavioral Health Agency
  • Manitowoc, WI
National Provider Identifier
1174755136
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1555 Issued in WI
Legal business name
MANITOWOC CO HUMAN SERVICES DEPT.
Practice address
926 S 8TH St
Manitowoc, WI 54220-4535
Phone
(920) 683-4230
Fax
(920) 683-4908
NPI assigned
Aug 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Mr. Bob Ziegelbauer
Title
County Executive
Phone
(920) 683-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1555 WI Primary

Addresses

Primary practice location

926 S 8TH St
Manitowoc, WI 54220-4535

Mailing address

PO Box 1177
926 S 8TH St
Manitowoc, WI 54221-1177
Phone (920) 683-4230

Other identifiers 1

IdentifierTypeStateIssuer
32977500MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Manitowoc County Health Department5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

926 S 8th St
Manitowoc, WI 54220
Phone (920) 683-4230

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1174755136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "address_2": "926 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542211177",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204535",
            "telephone_number": "920-683-4230",
            "fax_number": "920-683-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITOWOC CO HUMAN SERVICES DEPT.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "ZIEGELBAUER",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "COUNTY EXECUTIVE",
        "authorized_official_telephone_number": "920-683-5107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32977500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.