Pierce County Dept of Human Services
Organization Active NPI Community/Behavioral Health Agency · Ellsworth, WI
NPI 1356414940 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356414940
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 1737 (WI)
- Legal business name
- PIERCE COUNTY DEPT OF HUMAN SERVICES
- Practice address
- 412 W Kinne St
Ellsworth, WI 54011-0670 - Phone
- (715) 273-6770
- Fax
- (715) 273-6862
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Reginald L Bicha
- Title
- Director
- Phone
- (715) 273-6770
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- County of Pierce
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1737 | WI | Yes |
Addresses
Primary practice location
412 W Kinne St
Ellsworth, WI 54011-0670
Mailing address
PO Box 670
Ellsworth, WI 54011-0670
Phone (715) 273-6770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92046 | Other | MN | PREFERRED ONE |
| 9128PI | Other | MN | BCBS ALCOHOL AND DRUG |
| 91118PI | Other | MN | BCBS MENTAL HEALTH |
| 120213 | Other | MN | HEALTHPARTNERS |
NPI Registry JSON
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356414940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "ELLSWORTH",
"state": "WI",
"postal_code": "540110670",
"telephone_number": "715-273-6770",
"fax_number": "715-273-6862"
},
{
"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": "540110670",
"telephone_number": "715-273-6770",
"fax_number": "715-273-6862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIERCE COUNTY DEPT OF HUMAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BICHA",
"authorized_official_first_name": "REGINALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "715-273-6770",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WI",
"license": "1737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "92046",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ALCOHOL AND DRUG",
"identifier": "9128PI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MENTAL HEALTH",
"identifier": "91118PI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "120213",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ellsworth, WI
- NSH Ellsworth LLC
- Nyeggen Chiropractic SC
- Ronald Scott Nyeggen
- Laurie O'Neil
- Pierce County Dept of Human Services
- Pierce County Dept of Human Services
- Pierce County Dept of Human Services
- Pierce County Office on Aging
- Jessica Puhrmann
- Julie L Raethke
All providers in Ellsworth, WI · Community/Behavioral Health Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.