NPIMap

Organization Active NPI

Jackson County Dept. of Health & Human Services

Doing business as Jackson Co. Public Health

  • Public Health or Welfare Agency
  • Black River Falls, WI
National Provider Identifier
1275866170
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
JACKSON COUNTY DEPT. OF HEALTH & HUMAN SERVICES
Doing business as
Jackson Co. Public Health
Practice address
421 County Road R
Black River Falls, WI 54615-5129
Phone
(715) 284-4301
Fax
(715) 284-7713
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Christine Hovell
Title
Director
Phone
(715) 284-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

421 County Road R
Black River Falls, WI 54615-5129

Mailing address

421 County Road R
Black River Falls, WI 54615-5129
Phone (715) 284-4301

Other identifiers 1

IdentifierTypeStateIssuer
41858500MedicaidWI

Other names 1

  • Jackson Co. Public Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Jackson5 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.

Locations

421 County Road R
Black River Falls, WI 54615
Phone (715) 284-4301

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1275866170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY DEPT. OF HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "HOVELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-284-4301"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41858500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Co. Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson Co. Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.