Western Dairyland Eoc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WESTERN DAIRYLAND EOC

Practice address

23140 Whitehall Rd
Independence, WI 54747-7702

Phone

(715) 985-2391

Fax

(715) 985-2581

NPI assigned

Dec 11, 2009

Last updated

Dec 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James W Schwartz

Title

Executive Director

Phone

(715) 985-2391

Specialties & licenses 1

Addresses

Tax ID family

Western Dairyland Economic Opportunity Council Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Western Dairyland Economic Opportunity Council, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Whitehall, WI
  • NPI 1336353226
  NPD tax ID
• Western Dairyland Eoc, Inc.

  • Dental Hygienist
  • Independence, WI
  • NPI 1356549422
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah J Wruck, RDH

  • Dental Hygienist
  • Independence, WI
  • NPI 1184822710
  NPD (past)

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1255660759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "INDEPENDENCE",
            "state": "WI",
            "postal_code": "547470125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23140 WHITEHALL RD",
            "city": "INDEPENDENCE",
            "state": "WI",
            "postal_code": "547477702",
            "telephone_number": "715-985-2391",
            "fax_number": "715-985-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DAIRYLAND EOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-985-2391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gundersen Clinic, LTD.
• Jody Erica Kroening, RN/DNP PMHNP-BC
• School District of Independence
• Trempealeau County Health Care Center (Clover Way)
• Tri-County Memorial Hospital, Inc.
• Western Dairyland Eoc, Inc.
• Sarah J Wruck, RDH

• Dental Clinic/Center in Independence, WI
• Providers in Independence, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.