Organization Active NPI

Arbor Place, Inc.

  • Clinic/Center
  • Menomonie, WI
National Provider Identifier
1497889026
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARBOR PLACE, INC.
Practice address
4076 Kothlow Ave
Menomonie, WI 54751-3090
Phone
(715) 235-4537
Fax
(715) 235-4535
NPI assigned
Mar 15, 2007
Last updated
Mar 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Chris Chouinard
Title
Finance Manager
Phone
(715) 235-4537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4076 Kothlow Ave
Menomonie, WI 54751-3090

Mailing address

4076 Kothlow Ave
Menomonie, WI 54751-3090
Phone (715) 235-4537

Other identifiers 1

IdentifierTypeStateIssuer
42148200MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Arbor Place Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1497889026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4076 KOTHLOW AVE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513090",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4076 KOTHLOW AVE",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547513090",
            "telephone_number": "715-235-4537",
            "fax_number": "715-235-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "CHOUINARD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "715-235-4537"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42148200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.