NPIMap

Organization Active NPI

County of Iron

  • Community/Behavioral Health Agency
  • Hurley, WI
National Provider Identifier
1790901627
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2347 Issued in WI
Legal business name
COUNTY OF IRON
Practice address
300 Taconite St
Ste 201
Hurley, WI 54534-1546
Phone
(715) 561-3636
Fax
(715) 561-2128
NPI assigned
Apr 18, 2007
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Carolyn Kolson-Janov
Title
Director
Phone
(715) 561-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2347 WI Primary

Addresses

Primary practice location

300 Taconite St
Ste 201
Hurley, WI 54534-1546

Mailing address

300 Taconite St
Ste 201
Hurley, WI 54534-1546
Phone (715) 561-3636

Other identifiers 3

IdentifierTypeStateIssuer
42225100MedicaidWI
32771700MedicaidWI
43081900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050614000270 WI Part B Supplier - Clinic/Group Practice 0042254708 Receives reassigned benefits from 2 practitioners
Practice locations: Hurley, 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
Iron Co Human Serv3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

100 Cary Rd
Hurley, WI 54534
Phone (715) 561-4515

210 5th Ave N
Hurley, WI 54534
Phone (715) 561-2191

300 Taconite St
Ste 201
Hurley, WI 54534
Phone (715) 561-3636

Practitioners & affiliated clinicians

Practitioners 3

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1790901627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TACONITE ST",
            "address_2": "STE 201",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341546",
            "telephone_number": "715-561-3636",
            "fax_number": "715-561-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TACONITE ST",
            "address_2": "STE 201",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341546",
            "telephone_number": "715-561-3636",
            "fax_number": "715-561-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "KOLSON-JANOV",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-561-3636"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42225100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32771700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43081900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurley, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.