NPIMap

Organization Active NPI

Western Region Recovery & Wellness Consortia

  • Community/Behavioral Health Agency
  • Durand, WI
National Provider Identifier
1215313317
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3064 Issued in WI
Legal business name
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Practice address
740 7TH Ave W
Durand, WI 54736-1628
Phone
(715) 672-8941
Fax
(715) 672-8593
NPI assigned
Jul 31, 2015
Last updated
Jul 31, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Mary K Zachau
Title
Fiscal Manager
Phone
(715) 726-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3064 WI Primary

Addresses

Primary practice location

740 7TH Ave W
Durand, WI 54736-1628

Mailing address

711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845
Phone (715) 726-7788

Other identifiers 1

IdentifierTypeStateIssuer
3064OtherWISTATE OF WISCONSIN CERTIFICATION

Other names 1

  • Pepin County Department of Human Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Chippewa County26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1215313317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST RM 305",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291845",
            "telephone_number": "715-726-7788",
            "fax_number": "715-726-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 7TH AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361628",
            "telephone_number": "715-672-8941",
            "fax_number": "715-672-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN REGION RECOVERY & WELLNESS CONSORTIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "ZACHAU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "715-726-7787"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN CERTIFICATION",
            "identifier": "3064",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pepin County Department of Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durand, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.