Organization Active NPI

Oneida County

Doing business as Oneida County Health Department

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Rhinelander, WI
National Provider Identifier
1225175128
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
ONEIDA COUNTY
Doing business as
Oneida County Health Department
Practice address
100 W Keenan St
Rhinelander, WI 54501-3365
Phone
(715) 369-6111
Fax
(715) 369-6112
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Linda Kay Conlon, RN BAN
Title
Director
Phone
(715) 369-6105

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X Primary
Nursing Care Agency 251J00000X
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

100 W Keenan St
Rhinelander, WI 54501-3365

Mailing address

100 W Keenan St
Rhinelander, WI 54501-3365
Phone (715) 369-6111

Other identifiers 1

IdentifierTypeStateIssuer
42010000MedicaidWI

Other names 1

  • Oneida County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090226000088 WI Part B Supplier - Mass Immunization (Roster Biller Only) 0345306403 Practice locations: Rhinelander, WI

Other NPIs with the same Medicare PAC ID 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0662067Oneida County Health Department100 W Keenan St, Rhinelander, WI 54501Provider-performed microscopyJul 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
Oneida County5 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1225175128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W KEENAN ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013365",
            "telephone_number": "715-369-6111",
            "fax_number": "715-369-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W KEENAN ST",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545013365",
            "telephone_number": "715-369-6111",
            "fax_number": "715-369-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEIDA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-369-6105",
        "authorized_official_credential": "RN BAN"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42010000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oneida County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oneida County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rhinelander, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.