NPIMap

Organization Active NPI

County of Grant

Doing business as Grant County Health Dept - PNCC

  • Public Health or Welfare Agency
  • Lancaster, WI
National Provider Identifier
1417019688
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF GRANT
Doing business as
Grant County Health Dept - PNCC
Practice address
111 S Jefferson St FL 2
Lancaster, WI 53813-1672
Phone
(608) 723-6416
Fax
(608) 723-6501
NPI assigned
Dec 14, 2006
Last updated
Nov 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Jeffery A Kindrai, MSPH, RS
Title
Director Health Officer
Phone
(608) 723-6416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

111 S Jefferson St FL 2
Lancaster, WI 53813-1672

Mailing address

111 S Jefferson St FL 2
Lancaster, WI 53813-1672
Phone (608) 723-6416

Other identifiers 1

IdentifierTypeStateIssuer
44008900MedicaidWI

Other names 1

  • GRANT COUNTY HEALTH DEPT - PNCC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Unified Community SRVS14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1417019688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S JEFFERSON ST FL 2",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131672",
            "telephone_number": "608-723-6416",
            "fax_number": "608-723-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S JEFFERSON ST FL 2",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "538131672",
            "telephone_number": "608-723-6416",
            "fax_number": "608-723-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "KINDRAI",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR HEALTH OFFICER",
        "authorized_official_telephone_number": "608-723-6416",
        "authorized_official_credential": "MSPH, RS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44008900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRANT COUNTY HEALTH DEPT - PNCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.