Douglas County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DOUGLAS COUNTY

Practice address

1316 N 14TH St
Ste 400
Superior, WI 54880-1773

Phone

(715) 395-1304

Fax

(715) 395-1434

NPI assigned

Oct 13, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Ann Schanen

Title

Director Douglas County Health

Phone

(715) 395-1304

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Douglas County Department of Health and Human Services Doing business as

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": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1508854464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 N 14TH ST",
            "address_2": "STE 400 OR SUITE 324",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801773",
            "telephone_number": "715-395-1304",
            "fax_number": "715-395-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 N 14TH ST",
            "address_2": "STE 400",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801773",
            "telephone_number": "715-395-1304",
            "fax_number": "715-395-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "SCHANEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR DOUGLAS COUNTY HEALTH",
        "authorized_official_telephone_number": "715-395-1304",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44003300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43085600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41860700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43089400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douglas County Department of Health and Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Kay Dirkes, BSW, MS
• Dayelle Dorothy Dixon
• Marcia Domecq, LCSW
• Mariana Donahue, RN
• June B. Dougherty, RN
• Douglas County Community Health Clinic Inc.
• Douglas County Department of Health & Human Services
• Dove Agency, Inc.
• Dove Inc
• Shelby Lynn Downey, ATC, LAT

• Public Health or Welfare Agency in Superior, WI
• Providers in Superior, 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 Mar 29, 2012; 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.