Community Care of Central Wisconsin

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

COMMUNITY CARE OF CENTRAL WISCONSIN

Practice address

3349 Church St Ste 1
Stevens Point, WI 54481-5314

Phone

(715) 345-5968

Fax

(715) 345-5725

NPI assigned

Aug 8, 2008

Last updated

Aug 8, 2008By 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

Lucy Ellen Runnells, MPA

Title

Chief Financial Officer

Phone

(715) 204-1810

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1407002546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 CHURCH ST STE 1",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815314",
            "telephone_number": "715-345-5968",
            "fax_number": "715-345-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 CHURCH ST STE 1",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815314",
            "telephone_number": "715-345-5968",
            "fax_number": "715-345-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE OF CENTRAL WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "RUNNELLS",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "715-204-1810",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69005700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara a. Cleve (Family Counseling Clinic of Stevens Point)
• Clara A. Cleve, MSSW
• Jay C Cleve, PHD
• Clinical Life Labs LLC
• Lynn Maria Collins, NP
• Community Care of Portage County
• Compass Chiropractic and Wellness, S.C. (Compass Chiropractic)
• Compassion Counseling
• Compliance One Labs
• Bria Cook, DPT

• Exclusive Provider Organization in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Exclusive Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.