NPIMap

Organization Active NPI

County of Richland

  • Primary Care Clinic/Center
  • Richland Center, WI
National Provider Identifier
1508071960
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COUNTY OF RICHLAND
Practice address
221 W Seminary St
Richland Center, WI 53581-2358
Phone
(608) 647-8821
Fax
(608) 647-6611
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Barbara J Scott
Title
Mis Director
Phone
(608) 649-5922

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

221 W Seminary St
Richland Center, WI 53581-2358

Mailing address

221 W Seminary St
Richland Center, WI 53581-2358
Phone (608) 647-8821

Other identifiers 2

IdentifierTypeStateIssuer
44001700MedicaidWI
41850600MedicaidWI

Other names 1

  • Richland County Health and Human Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001043 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2264335355 Practice locations: Richland Center, WI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Richland County Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pine Valley Community VillageRichland Center, WI, CCN 525365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 9, 1978
Mar 9, 1978
Mar 9, 1978

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Richland
    • Skilled Nursing Facility
    • Richland Center, WI
    • NPI 1144229055

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1508071960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W SEMINARY ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812358",
            "telephone_number": "608-647-8821",
            "fax_number": "608-647-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W SEMINARY ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812358",
            "telephone_number": "608-647-8821",
            "fax_number": "608-647-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RICHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MIS DIRECTOR",
        "authorized_official_telephone_number": "608-649-5922"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44001700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41850600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland County Health and Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland Center, WI

Sources for this page

Verify at the official NPI Registry.