NPIMap

Organization Active NPI

Bayfield County Department of Human Services

  • Specialist
  • Washburn, WI
National Provider Identifier
1790967602
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES
Practice address
117 E 5TH St
Washburn, WI 54891-4522
Phone
(715) 373-6144
Fax
(715) 373-6130
NPI assigned
Dec 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Mrs. Elizabeth A. Skulan
Title
Director
Phone
(715) 373-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X WI Primary

Addresses

Primary practice location

117 E 5TH St
Washburn, WI 54891-4522

Mailing address

PO Box 100
117 East Fifth Street
Washburn, WI 54891-0100
Phone (715) 373-6144

Other identifiers 1

IdentifierTypeStateIssuer
41221000MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Bayfield Coutny Nursing5 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": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1790967602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "address_2": "117 EAST FIFTH STREET",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548910100",
            "telephone_number": "715-373-6144",
            "fax_number": "715-373-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E 5TH ST",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548914522",
            "telephone_number": "715-373-6144",
            "fax_number": "715-373-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SKULAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-373-6144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41221000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washburn, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.