NPIMap

Organization Active NPI

Marquette County DHS

  • Early Intervention Provider Agency
  • Montello, WI
National Provider Identifier
1780924696
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MARQUETTE COUNTY DHS
Practice address
428 Underwood Ave
Montello, WI 53949-9248
Phone
(608) 297-3124
NPI assigned
Mar 1, 2013
Last updated
Mar 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Authorized official

Name
Mandy Stanley
Title
Director
Phone
(608) 297-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

428 Underwood Ave
Montello, WI 53949-9248

Mailing address

428 Underwood Ave
PO Box 405
Montello, WI 53949-9248
Phone (608) 297-3124

National Provider Directory

National Provider Directory
Tax ID family
Marquette County Department of Human Services-Clinical Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1780924696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 UNDERWOOD AVE",
            "address_2": "PO BOX 405",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499248",
            "telephone_number": "608-297-3124",
            "fax_number": "608-297-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 UNDERWOOD AVE",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499248",
            "telephone_number": "608-297-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE COUNTY DHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-297-3124"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montello, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.