Coulee Techlink, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

6381 Issued in KY

Legal business name

COULEE TECHLINK, INC

Practice address

1129 Riders Club Rd
Onalaska, WI 54650-2079

Phone

(608) 783-8324

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Rodney A Holum Jr.

Title

Ceo

Phone

(608) 783-8324

Specialties & licenses 1

Addresses

Other names 1

• Kids First Mobile Dentistry Doing business as

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1245504166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 RIDERS CLUB RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502079",
            "telephone_number": "608-783-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 RIDERS CLUB RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502079",
            "telephone_number": "608-783-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULEE TECHLINK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "HOLUM",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-783-8324",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids First Mobile Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Paul Cooper, ATC
• Melissa J Copps, D.D.S.
• Core Choice S.C.
• Cornerstone Caregiving East LLC
• Karen L Corona-Londre, PSYD, BCBA
• Courage to Grow Counseling Center, LLC
• Cowgill Dental
• Cowgill Dental Onalaska LLC
• Terry Cowgill, DDS
• Tracey A Cowley, BCBA

• Dentist in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.