NPIMap

Organization Active NPI

Southwestern Wisconsin Community Action Program, Inc.

  • Private Vehicle
  • Dodgeville, WI
National Provider Identifier
1346514486
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM, INC.
Practice address
201 S Iowa St
Dodgeville, WI 53533-1739
Phone
(608) 930-2191
Fax
(608) 319-2124
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Mr. Ashley Nedeau-Owen
Title
Director Transportation Development
Phone
(608) 930-2191

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary
Transportation Broker 347E00000X

Addresses

Primary practice location

201 S Iowa St
Dodgeville, WI 53533-1739

Mailing address

201 S Iowa St
Dodgeville, WI 53533-1739
Phone (608) 930-2191

National Provider Directory

National Provider Directory
Tax ID family
Southwestern Wisconsin Community Action Program4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

201 S Iowa St
Dodgeville, WI 53533
Phone (608) 930-2191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1346514486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S IOWA ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331739",
            "telephone_number": "608-930-2191",
            "fax_number": "608-319-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S IOWA ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331739",
            "telephone_number": "608-930-2191",
            "fax_number": "608-319-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "NEDEAU-OWEN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR TRANSPORTATION DEVELOPMENT",
        "authorized_official_telephone_number": "608-930-2191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.