NPIMap

Organization Active NPI

County of Shawano

Doing business as Shawano County Dept of Human Services

  • Rehabilitation Clinic/Center
  • Shawano, WI
National Provider Identifier
1407014020
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
COUNTY OF SHAWANO
Doing business as
Shawano County Dept of Human Services
Practice address
W7327 Anderson Ave
Shawano, WI 54166-1143
Phone
(715) 526-4700
Fax
(715) 526-5542
NPI assigned
May 30, 2008
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Mr. Richard Kane
Title
Director
Phone
(715) 526-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary
Community/Behavioral Health Agency 251S00000X 1831 WI

Addresses

Primary practice location

W7327 Anderson Ave
Shawano, WI 54166-1143

Mailing address

504 Lakeland Rd
Shawano, WI 54166-3836
Phone (715) 526-4700

Other identifiers 1

IdentifierTypeStateIssuer
33350100MedicaidWI

Other names 1

  • SHAWANO COUNTY DEPT OF HUMAN SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shawano County Department of Community Program11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1407014020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LAKELAND RD",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663836",
            "telephone_number": "715-526-4700",
            "fax_number": "715-526-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W7327 ANDERSON AVE",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541661143",
            "telephone_number": "715-526-4700",
            "fax_number": "715-526-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHAWANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-526-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33350100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAWANO COUNTY DEPT OF HUMAN SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.