Douglas County Community Health Clinic Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

DOUGLAS COUNTY COMMUNITY HEALTH CLINIC INC.

Doing business as

Health Care Clinic

Practice address

2231 Catlin Ave
Superior, WI 54880-5137

Phone

(715) 394-4117

Fax

(715) 394-5711

NPI assigned

Feb 16, 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 Willcoxon

Title

Director

Phone

(715) 394-4117

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Care Clinic Doing business as

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396889259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 CATLIN AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805137",
            "telephone_number": "715-394-4117",
            "fax_number": "715-394-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 CATLIN AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805137",
            "telephone_number": "715-394-4117",
            "fax_number": "715-394-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY COMMUNITY HEALTH CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLCOXON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-394-4117"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42006000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dayelle Dorothy Dixon
• Marcia Domecq, LCSW
• Mariana Donahue, RN
• June B. Dougherty, RN
• Douglas County (Douglas County Department of Health and Human Services)
• Douglas County Department of Health & Human Services
• Dove Agency, Inc.
• Dove Inc
• Shelby Lynn Downey, ATC, LAT
• Martin Edward Duchscher, DDS

• Case Management Agency in Superior, WI
• Providers in Superior, WI by specialty
• Case Management 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.