City of Appleton Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CITY OF APPLETON HEALTH DEPARTMENT

Practice address

100 N Appleton St
Appleton, WI 54911-4702

Phone

(920) 832-6429

Fax

(920) 832-5853

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Kurt Eggebrecht, MED

Title

Health Officer

Phone

(920) 832-6429

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487857306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N APPLETON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114702",
            "telephone_number": "920-832-6429",
            "fax_number": "920-832-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N APPLETON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549114702",
            "telephone_number": "920-832-6429",
            "fax_number": "920-832-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF APPLETON HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EGGEBRECHT",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "920-832-6429",
        "authorized_official_credential": "MED"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41871300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44017300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LAB OF HYGIENE",
            "identifier": "503",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Churchill
• Kayla Marie Churchill
• Frank M Chybowski, MD
• Nathan Paul Cichocki, RPH
• Circle of Care Cooperative
• CJB Ventures, Inc.
• Alyssa Clark, MT-BC
• Elizabeth F Clark, MSC, PA-C
• Kristine J. Clark, O.T.C.
• S. William Clark, D.D.S.

• Public Health or Welfare Agency in Appleton, WI
• Providers in Appleton, WI by specialty
• Public Health or Welfare 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.