Northernbridges

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

69009009 Issued in WI

Legal business name

NORTHERNBRIDGES

Practice address

15954 Rivers Edge Dr
Suite #300
Hayward, WI 54843-7887

Phone

(715) 934-2266

Fax

(715) 934-2268

NPI assigned

Jun 18, 2009

Last updated

Jun 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John McMahon

Title

Ceo

Phone

(715) 934-2266

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1609003540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15954 RIVERS EDGE DR",
            "address_2": "SUITE #300",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437887",
            "telephone_number": "715-934-2266",
            "fax_number": "715-934-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15954 RIVERS EDGE DR",
            "address_2": "SUITE #300",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437887",
            "telephone_number": "715-934-2266",
            "fax_number": "715-934-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERNBRIDGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "715-934-2266"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": "69009009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwoods Behavioral Health Services, LLC.
• Northwoods Chiropractic Inc.

• Case Management Agency in Hayward, WI
• Providers in Hayward, WI by specialty
• Case Management Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.