NPIMap

Organization Active NPI

County of Trempealeau

Doing business as Willow Ridge CBRF

  • Mental Illness Community Based Residential Treatment Facility
  • Whitehall, WI
National Provider Identifier
1700466588
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COUNTY OF TREMPEALEAU
Doing business as
Willow Ridge CBRF
Practice address
N36585 County Road QQQ
Whitehall, WI 54773-4401
Phone
(715) 538-9136
NPI assigned
Apr 14, 2021
Last updated
Apr 14, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF TREMPEALEAUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Leslie Coburn
Title
Lead Account Clerk
Phone
(715) 538-4312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

N36585 County Road QQQ
Whitehall, WI 54773-4401

Mailing address

W20410 State Road 121
Whitehall, WI 54773-9147
Phone (715) 538-9136

Other names 1

  • Willow Ridge CBRF Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL none Other

National Provider Directory

National Provider Directory
Tax ID family
Trempealeau County Heal27 organizations share this tax ID, including this one
Part of
Trempealeau County Heal

Other organizations with this tax ID 26

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

View all 26

Locations

N36585 County Road QQQ
Whitehall, WI 54773
Phone (715) 538-9136

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1700466588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W20410 STATE ROAD 121",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547739147",
            "telephone_number": "715-538-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N36585 COUNTY ROAD QQQ",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547734401",
            "telephone_number": "715-538-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TREMPEALEAU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF TREMPEALEAU",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "LEAD ACCOUNT CLERK",
        "authorized_official_telephone_number": "715-538-4312"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "none",
            "address_1": "N36585 County Road Qqq",
            "city": "Whitehall",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547734401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Willow Ridge CBRF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.