NPIMap

Organization Active NPI

Taylor County

  • Public Health or Welfare Agency
  • Medford, WI
National Provider Identifier
1710173281
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
TAYLOR COUNTY
Practice address
224 S 2ND St
Courthouse
Medford, WI 54451-1811
Phone
(715) 748-1410
Fax
(715) 748-1417
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Patricia M Krug, RN, BSNNPI 1952424160
Title
Health Officer
Phone
(715) 748-1410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

224 S 2ND St
Courthouse
Medford, WI 54451-1811

Mailing address

224 S 2ND St
Courthouse
Medford, WI 54451-1811
Phone (715) 748-1410

Other identifiers 1

IdentifierTypeStateIssuer
41854700MedicaidWI

Other names 1

  • Taylor County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000234 WI Part B Supplier - Mass Immunization (Roster Biller Only) 4082798905 Practice locations: Medford, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0662057Taylor County Health Department224 S Second St, Medford, WI 54451Certificate of waiverAug 31, 2026
52D2262702Taylor County Jail224 S 2ND St, Medford, WI 54451Certificate of waiverJun 15, 2028
52D2307214Taylor County Jail224 2ND Street, Medford, WI 54451Certificate of waiverJul 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Taylor Cty Nurs Serv9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

224 S 2nd St
Medford, WI 54451
Phone (715) 748-1410

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1710173281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S 2ND ST",
            "address_2": "COURTHOUSE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511811",
            "telephone_number": "715-748-1410",
            "fax_number": "715-748-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S 2ND ST",
            "address_2": "COURTHOUSE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511811",
            "telephone_number": "715-748-1410",
            "fax_number": "715-748-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KRUG",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "715-748-1410",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41854700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylor County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.