NPIMap

Organization Active NPI

Vernon County Dept of Human Services

  • Case Management Agency
  • Viroqua, WI
National Provider Identifier
1578746194
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VERNON COUNTY DEPT OF HUMAN SERVICES
Practice address
318 Fairlane Drive
Suite 100
Viroqua, WI 54665-6140
Phone
(608) 637-5210
Fax
(608) 637-5505
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Ms. Pamela J Eitland
Title
Director
Phone
(608) 637-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

318 Fairlane Drive
Suite 100
Viroqua, WI 54665-6140

Mailing address

318 Fairlane Drive
Suite 100
Viroqua, WI 54665-6140
Phone (608) 637-5210

Other identifiers 1

IdentifierTypeStateIssuer
43076600MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
County of Vernon11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1578746194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 FAIRLANE DRIVE",
            "address_2": "SUITE 100",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546656140",
            "telephone_number": "608-637-5210",
            "fax_number": "608-637-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 FAIRLANE DRIVE",
            "address_2": "SUITE 100",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546656140",
            "telephone_number": "608-637-5210",
            "fax_number": "608-637-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON COUNTY DEPT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "EITLAND",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-637-5210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43076600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.