NPIMap

Organization Active NPI

County of Jackson

Doing business as Jackson County Department of Health & Human Services

  • Early Intervention Provider Agency
  • Black River Falls, WI
National Provider Identifier
1558738872
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
COUNTY OF JACKSON
Doing business as
Jackson County Department of Health & Human Services
Practice address
421 County Road R
Black River Falls, WI 54615-5129
Phone
(715) 284-4301
Fax
(715) 284-7713
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Christine Hovell
Title
Director
Phone
(715) 284-4301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

421 County Road R
Black River Falls, WI 54615-5129

Mailing address

421 County Road R
Black River Falls, WI 54615-5129
Phone (715) 284-4301

Other names 1

  • Jackson County Department of Health & Human Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Jackson5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1558738872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 COUNTY ROAD R",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155129",
            "telephone_number": "715-284-4301",
            "fax_number": "715-284-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "HOVELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-284-4301"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson County Department of Health & Human Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jackson County Department of Health & Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black River Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.