NPIMap

Organization Active NPI

County of Pierce

Doing business as Pierce County Public Health

  • Public Health or Welfare Agency
  • Ellsworth, WI
National Provider Identifier
1316920317
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF PIERCE
Doing business as
Pierce County Public Health
Practice address
412 W Kinne St
Ellsworth, WI 54011-9223
Phone
(715) 273-6755
Fax
(715) 273-6854
NPI assigned
Nov 22, 2005
Last updated
Nov 28, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF PIERCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Sue Galoff
Title
Director
Phone
(715) 273-6755

Specialties & licenses 1

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

Addresses

Primary practice location

412 W Kinne St
Ellsworth, WI 54011-9223

Mailing address

412 W Kinne St
P.O. Box 238
Ellsworth, WI 54011-9230
Phone (715) 273-6755

Other identifiers 4

IdentifierTypeStateIssuer
38394800OtherWIDENTAL SERVICES
43089800OtherWIB3 TCM
44001100OtherWIPRENATAL CARE COORDINATIO
42552200OtherWIB3 SPEECH

Other names 1

  • Pierce County Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000764 WI Part B Supplier - Mass Immunization (Roster Biller Only) 3870519358 Practice locations: Ellsworth, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Pierce Co DPT HMN Serv8 organizations share this tax ID, including this one
Part of
Pierce Co DPT HMN Serv

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1316920317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W KINNE ST",
            "address_2": "P.O. BOX 238",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "540119230",
            "telephone_number": "715-273-6755",
            "fax_number": "715-273-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W KINNE ST",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "540119223",
            "telephone_number": "715-273-6755",
            "fax_number": "715-273-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PIERCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF PIERCE",
        "enumeration_date": "2005-11-22",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "GALOFF",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-273-6755"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL SERVICES",
            "identifier": "38394800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B3 TCM",
            "identifier": "43089800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRENATAL CARE COORDINATIO",
            "identifier": "44001100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B3 SPEECH",
            "identifier": "42552200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pierce County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellsworth, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.