NPIMap

Organization Active NPI

Children's Service Society of Wisconsin

Doing business as Black River Falls PNCC

  • Case Management Agency
  • Black River Falls, WI
National Provider Identifier
1306305941
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHILDREN'S SERVICE SOCIETY OF WISCONSIN
Doing business as
Black River Falls PNCC
Practice address
W11109 Rogers Rd
Black River Falls, WI 54615-6051
Phone
(715) 284-3001
Fax
(715) 284-3005
NPI assigned
Mar 13, 2019
Last updated
May 1, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S SERVICE SOCIETY OF WISCONSINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Sheila Reuteman
Title
Sr. Credentialing Coordinator
Phone
(414) 266-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

W11109 Rogers Rd
Black River Falls, WI 54615-6051

Mailing address

9000 W Wisconsin Ave # Ms 958
Milwaukee, WI 53226-4874
Phone (414) 266-7615

Other identifiers 1

IdentifierTypeStateIssuer
1186OtherWILICENSE

Other names 1

  • Black River Falls PNCC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Service Society15 organizations share this tax ID, including this one
Part of
Childrens Service Society

Other organizations with this tax ID 14

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

View all 14

Locations

W11109 Rogers Rd
Black River Falls, WI 54615
Phone (715) 284-3001

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1306305941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE # MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W11109 ROGERS RD",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546156051",
            "telephone_number": "715-284-3001",
            "fax_number": "715-284-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S SERVICE SOCIETY OF WISCONSIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S SERVICE SOCIETY OF WISCONSIN",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "REUTEMAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "SR. CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "414-266-7615"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1186",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black River Falls PNCC",
            "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 May 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.