County of Chippewa

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF CHIPPEWA

Practice address

711 N Bridge St,
Room 121
Chippewa Falls, WI 54729

Phone

(715) 726-7900

Fax

(715) 726-7910

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Wideman, RN, MPH

Title

County Health Officer/Director

Phone

(715) 726-7906

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Chippewa County Department of Public Health Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Chippewa

  • Home Health Agency
  • Chippewa Falls, WI
  • NPI 1841271665

  O20170213002019

  Same enrollment

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1710968540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST,",
            "address_2": "ROOM 121",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-726-7900",
            "fax_number": "715-726-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST,",
            "address_2": "ROOM 121",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "54729",
            "telephone_number": "715-726-7900",
            "fax_number": "715-726-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHIPPEWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "WIDEMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "COUNTY HEALTH OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "715-726-7906",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41852600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44005800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43090100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa County Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chippewa County Department of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Cooper, LMT
• Michelle Nicole Corbin, LPC-IT
• Cornerstone Physical Therapy
• Cornerstone Physical Therapy, LLC
• Giancarlo Couch, DDS
• County of Chippewa
• County of Chippewa
• Michael John Court, DC
• Amber Margaret Covill
• Jennifer R Coyne, LPC, CSAC

• Public Health or Welfare Agency in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.