NPIMap

Organization Active NPI

County of Langlade

  • Public Health or Welfare Agency
  • Antigo, WI
National Provider Identifier
1457566960
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF LANGLADE
Practice address
1225 Langlade Rd
Antigo, WI 54409-2762
Phone
(715) 627-6520
Fax
(715) 627-6391
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Janice K Antoniewicz
Title
Finance Assistant
Phone
(715) 627-6250

Specialties & licenses 1

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

Addresses

Primary practice location

1225 Langlade Rd
Antigo, WI 54409-2762

Mailing address

1225 Langlade Rd
Antigo, WI 54409-2762
Phone (715) 627-6520

Other identifiers 2

IdentifierTypeStateIssuer
44017200MedicaidWI
41852000MedicaidWI

Other names 1

  • LANGLADE CO HEALTH DEPT Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000627 WI Part B Supplier - Mass Immunization (Roster Biller Only) 5799947230 Practice locations: Antigo, WI

National Provider Directory

National Provider Directory
Tax ID family
Langlade County Health5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1457566960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 LANGLADE RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092762",
            "telephone_number": "715-627-6520",
            "fax_number": "715-627-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 LANGLADE RD",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544092762",
            "telephone_number": "715-627-6520",
            "fax_number": "715-627-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LANGLADE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "ANTONIEWICZ",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCE ASSISTANT",
        "authorized_official_telephone_number": "715-627-6250"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44017200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41852000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANGLADE CO HEALTH DEPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antigo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.