County of Forest

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF FOREST

Practice address

200 E Madison St
Crandon, WI 54520-1415

Phone

(715) 478-3371

Fax

(715) 478-5171

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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

Linda Kortbein

Title

Director

Phone

(715) 478-3371

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Forest County Health Department Other name

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

CLIA laboratory certificates

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285847145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MADISON ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201415",
            "telephone_number": "715-478-3371",
            "fax_number": "715-478-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MADISON ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545201415",
            "telephone_number": "715-478-3371",
            "fax_number": "715-478-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORTBEIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-478-3371"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44015600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43084900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41867800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy E Booher, APSW
• Richard Arthur Brandner, M.D.
• Laura Jean Connor, D.C.
• Elizabeth Anne Conway
• Stephanie Marie Coons, DSW
• Crandon Area Rescue Squad, Inc
• Crandon Chiropractic S.C.
• Crandon Vision Center
• Kristin Mary Dahms
• Shelby Lynn Daniels, SAC-IT

• Public Health or Welfare Agency in Crandon, WI
• Providers in Crandon, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.