NPIMap

Organization Active NPI

County of Eau Claire

  • Community/Behavioral Health Agency
  • Eau Claire, WI
National Provider Identifier
1730643263
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF EAU CLAIRE
Practice address
721 Oxford Ave
Eau Claire, WI 54703-5212
Phone
(715) 839-2300
NPI assigned
Jan 29, 2019
Organization subpart
Yes
Parent organization
EAU CLAIRE COUNTY DEPARTMENT OF HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Vickie Gardner
Title
Fiscal Services Manager
Phone
(715) 839-2997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

721 Oxford Ave
Eau Claire, WI 54703-5212

Mailing address

721 Oxford Ave
Eau Claire, WI 54703-5212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202000594 WI Part B Supplier - Clinic/Group Practice 7113350398 Receives reassigned benefits from 11 practitioners
Practice locations: Eau Claire, WI

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
52D2269410Eau Claire County Juvenile Detention Center721 Oxford Ave Ste 3600, Eau Claire, WI 54703Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Eau Claire County Dept of Human Services9 organizations share this tax ID, including this one
Part of
Eau Claire County Dept of Human Services

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 11

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": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1730643263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 OXFORD AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035212",
            "telephone_number": "715-839-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EAU CLAIRE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAU CLAIRE COUNTY DEPARTMENT OF HUMAN SERVICES",
        "enumeration_date": "2019-01-29",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "FISCAL SERVICES MANAGER",
        "authorized_official_telephone_number": "715-839-2997"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 2, 2021; 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.