NPIMap

Organization Active NPI

County of Vernon

Doing business as Vernon County Health Department

  • Public Health or Welfare Agency
  • Viroqua, WI
National Provider Identifier
1770749764
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF VERNON
Doing business as
Vernon County Health Department
Practice address
318 Fairlane Dr (Co Hwy BB)
Viroqua, WI 54665-0209
Phone
(608) 637-5251
Fax
(608) 637-5514
NPI assigned
Jul 30, 2008
Last updated
Sep 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Ms. Elizabeth Ann Johnson, RN, BSN
Title
Director
Phone
(608) 637-5251

Specialties & licenses 1

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

Addresses

Primary practice location

318 Fairlane Dr (Co Hwy BB)
Viroqua, WI 54665-0209

Mailing address

PO Box 209
Viroqua, WI 54665-0209
Phone (608) 637-5251

Other names 1

  • Vernon 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
O20080929000043 WI Part B Supplier - Mass Immunization (Roster Biller Only) 9739186792 Practice locations: Viroqua, WI

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Vernon County Health de11 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.

Locations

310 Fairlane Dr
Viroqua, WI 54665
Phone (262) 923-7101

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vernon ManorViroqua, WI, CCN 525562 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Feb 29, 2008
Dec 26, 2024
Dec 26, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Vernon

    dba Vernon Manor

    • Skilled Nursing Facility
    • Viroqua, WI
    • NPI 1750324687

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1770749764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546650209",
            "telephone_number": "608-637-5251",
            "fax_number": "608-637-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 FAIRLANE DR (CO HWY BB)",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546650209",
            "telephone_number": "608-637-5251",
            "fax_number": "608-637-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF VERNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-637-5251",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vernon County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Viroqua, WI

Sources for this page

Verify at the official NPI Registry.