NPIMap

Organization Active NPI

Columbia County HHSD

  • Rehabilitation Clinic/Center
  • Portage, WI
National Provider Identifier
1679748057
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
COLUMBIA COUNTY HHSD
Practice address
111 E Mullett St
Portage, WI 53901-2325
Phone
(608) 742-9227
Fax
(608) 742-9700
NPI assigned
Apr 25, 2008
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Mrs. Heather J Gove, CSW, LPC
Title
Director
Phone
(608) 742-9215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

111 E Mullett St
Portage, WI 53901-2325

Mailing address

2652 Murphy Rd
Portage, WI 53901-1094
Phone (608) 742-9227

Other identifiers 1

IdentifierTypeStateIssuer
41222000MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Columbia Cty Com HLTH S11 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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1679748057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 MURPHY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539011094",
            "telephone_number": "608-742-9227",
            "fax_number": "608-742-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MULLETT ST",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539012325",
            "telephone_number": "608-742-9227",
            "fax_number": "608-742-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA COUNTY HHSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "GOVE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-742-9215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSW, LPC"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41222000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.