NPIMap

Organization Active NPI

Chippewa County DHS

  • Community/Behavioral Health Agency
  • Chippewa Falls, WI
National Provider Identifier
1639246135
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1196 Issued in WI
Legal business name
CHIPPEWA COUNTY DHS
Doing business as
Chippewa County DHS
Practice address
711 N Bridge Street
RM 122
Chippewa Falls, WI 54729-1876
Phone
(715) 726-7788
Fax
(715) 726-4560
NPI assigned
Nov 29, 2006
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Mr. Larry Winter
Title
Dept of Human Services Director
Phone
(715) 726-7788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1196 WI Primary

Addresses

Primary practice location

711 N Bridge Street
RM 122
Chippewa Falls, WI 54729-1876

Mailing address

711 N Bridge Street
RM 305
Chippewa Falls, WI 54729-1876
Phone (715) 726-7788

Other identifiers 2

IdentifierTypeStateIssuer
1167OtherWISECURITY HEALTH
42139900MedicaidWI

Other names 1

  • Chippewa County DHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chippewa County26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

711 N Bridge St
Rm 122
Chippewa Fls, WI 54729
Phone (715) 726-7788

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1639246135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE STREET",
            "address_2": "RM 305",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291876",
            "telephone_number": "715-726-7788",
            "fax_number": "715-726-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE STREET",
            "address_2": "RM 122",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291876",
            "telephone_number": "715-726-7788",
            "fax_number": "715-726-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA COUNTY DHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DEPT OF HUMAN SERVICES DIRECTOR",
        "authorized_official_telephone_number": "715-726-7788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH",
            "identifier": "1167",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42139900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa County DHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.