NPIMap

Organization Active NPI

County of Wood

  • Psychiatric Hospital
  • Marshfield, WI
National Provider Identifier
1508840844
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
1709 Issued in WI
Legal business name
COUNTY OF WOOD
Practice address
1600 N Chestnut Ave
Marshfield, WI 54449-1449
Phone
(715) 384-2188
Fax
(715) 387-1533
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Marissa Kornack
Title
Facility Administrator
Phone
(715) 384-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 1709 WI Primary

Addresses

Primary practice location

1600 N Chestnut Ave
Marshfield, WI 54449-1449

Mailing address

1600 N Chestnut Ave
Marshfield, WI 54449-1449
Phone (715) 384-2188

Other identifiers 1

IdentifierTypeStateIssuer
10063900MedicaidWI

Other names 1

  • Norwood Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110201000486 WI Part A Provider - Hospital 3476554692 Practice locations: Marshfield, WI
O20160129000478 WI Part B Supplier - Hospital Department(S) 3476554692 Receives reassigned benefits from 9 practitioners
Practice locations: Marshfield, WI

Hospital certification: CCN 524019

Legal name
COUNTY OF WOOD
Doing business as
NORWOOD HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 15, 1975
Last certification
Aug 20, 2025
Beds
16
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
1600 N Chestnut Ave
Marshfield, WI 54449-1449
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Norwood Health CenterCCN 524019
Type
Psychiatric
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2192224Norwood Health Center-Central1600 N Chestnut Ave, Marshfield, WI 54449Certificate of waiverSep 7, 2026

National Provider Directory

National Provider Directory
Tax ID family
Norwood Health Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1600 N Chestnut Ave
Marshfield, WI 54449
Phone (715) 384-2188

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marissa Ann Kornack Individual Corporate Officer Apr 5, 2021 100%
Operational/Managerial Control Apr 5, 2021 100%
County of Wood Organization, Marshfield, WI Operational/Managerial Control Aug 23, 2015 100%
Other Jan 20, 2016 100%
Angela R Wiese Individual Operational/Managerial ControlPatient Accounts Manager Nov 16, 2009 10%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Edgewater Haven Nursing HomePort Edwards, WI, CCN 525088 Skilled nursing facility Other (100%) Nov 15, 2011

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1508840844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N CHESTNUT AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491449",
            "telephone_number": "715-384-2188",
            "fax_number": "715-387-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N CHESTNUT AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491449",
            "telephone_number": "715-384-2188",
            "fax_number": "715-387-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "KORNACK",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "715-384-2188"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "WI",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10063900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwood Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norwood Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshfield, WI

Sources for this page

Verify at the official NPI Registry.