Organization Active NPI

County of Crawford

Doing business as Crawford County Health and Human Services

  • Public Health or Welfare Agency
  • Prairie Du Chien, WI
National Provider Identifier
1215155668
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF CRAWFORD
Doing business as
Crawford County Health and Human Services
Practice address
225 N Beaumont Rd
Suite 306
Prairie Du Chien, WI 53821-1445
Phone
(608) 326-0229
Fax
(608) 326-0289
NPI assigned
Apr 23, 2007
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dan McWilliams
Title
Director
Phone
(608) 326-0229

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Public Health or Welfare Agency 251K00000X WI Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

225 N Beaumont Rd
Suite 306
Prairie Du Chien, WI 53821-1445

Mailing address

225 N Beaumont Rd
Prairie Du Chien, WI 53821-1445
Phone (608) 326-0229

Other identifiers 2

IdentifierTypeStateIssuer
44005700MedicaidWI
41861300MedicaidWI

Other names 2

  • Crawford County Health and Human Services Doing business as
  • Crawford County Public Health Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060426000129 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1456392117 Practice locations: Prairie Du Chien, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
County of Crawford4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 1

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

Locations

225 N Beaumont Rd
Ste 306
Prairie du Chien, WI 53821
Phone (608) 326-0229

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1215155668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N BEAUMONT RD",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211445",
            "telephone_number": "608-326-0229",
            "fax_number": "608-326-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N BEAUMONT RD",
            "address_2": "SUITE 306",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211445",
            "telephone_number": "608-326-0229",
            "fax_number": "608-326-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-326-0229"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44005700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41861300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford County Health and Human Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crawford County Public Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.