NPIMap

Organization Active NPI

Clinicare Corporation

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Eau Claire, WI
National Provider Identifier
1669648523
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
560002 Issued in WI
Legal business name
CLINICARE CORPORATION
Practice address
550 N Dewey St
Eau Claire, WI 54703-3218
Phone
(715) 834-6681
Fax
(715) 834-9954
NPI assigned
May 1, 2008
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Charles Lee Albrent, M.P.A.
Title
Executive Director
Phone
(715) 834-6681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 560002 WI Primary

Addresses

Primary practice location

550 N Dewey St
Eau Claire, WI 54703-3218

Mailing address

550 N Dewey St
Eau Claire, WI 54703-3218
Phone (715) 834-6681

Other identifiers 1

IdentifierTypeStateIssuer
42226800MedicaidWI

Other names 1

  • (ECA Outpt) Other name

National Provider Directory

National Provider Directory
Tax ID family
Eau Claire Academy HC28 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1669648523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N DEWEY ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033218",
            "telephone_number": "715-834-6681",
            "fax_number": "715-834-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N DEWEY ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547033218",
            "telephone_number": "715-834-6681",
            "fax_number": "715-834-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ALBRENT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-834-6681",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.A."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WI",
            "license": "560002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42226800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(ECA Outpt)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

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