Active NPI
County of Vilas
- Public Health or Welfare Agency
- Eagle River, WI
National Provider Identifier
1497895833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF VILAS
- Practice address
- 330 Court St
Eagle River, WI 54521-8362 - Phone
- (715) 479-3656
- Fax
- (715) 479-3741
- NPI assigned
- Feb 7, 2007
- Last updated
- Nov 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laurel A. Dreger, R.N., B.S.N.
- Title
- Director,Health Officer
- Phone
- (715) 479-3658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
330 Court St
Eagle River, WI 54521-8362
Mailing address
330 Court St
Eagle River, WI 54521-8362
Phone (715) 479-3656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110325000863 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 9830372978 | Practice locations: Eagle River, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0941358 | Vilas County Public Health Department | Certificate of waiver | Feb 23, 2028 |
| 52D2156343 | Vilas County Jail | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
330 Court St
Eagle River, WI 54521
Phone (715) 479-3656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dental Hygienist
- Eagle River, WI
- NPI 1386057099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574035200000",
"number": "1497895833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 COURT ST",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545218362",
"telephone_number": "715-479-3656",
"fax_number": "715-479-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 COURT ST",
"city": "EAGLE RIVER",
"state": "WI",
"postal_code": "545218362",
"telephone_number": "715-479-3656",
"fax_number": "715-479-3741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF VILAS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2019-11-18",
"status": "A",
"authorized_official_last_name": "DREGER",
"authorized_official_first_name": "LAUREL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "DIRECTOR,HEALTH OFFICER",
"authorized_official_telephone_number": "715-479-3658",
"authorized_official_credential": "R.N., B.S.N."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.