NPIMap

Organization Active NPI

Marquette County Department of Human Services-Clinical Services

  • Community/Behavioral Health Agency
  • Montello, WI
National Provider Identifier
1821479239
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARQUETTE COUNTY DEPARTMENT OF HUMAN SERVICES-CLINICAL SERVICES
Practice address
480 Underwood Ave
Montello, WI 53949-9248
Phone
(608) 297-3124
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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) 297-3123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

480 Underwood Ave
Montello, WI 53949-9248

Mailing address

PO Box 405
Montello, WI 53949-0405

National Provider Directory

National Provider Directory
Tax ID family
County of Marquette5 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1821479239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539490405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 UNDERWOOD AVE",
            "city": "MONTELLO",
            "state": "WI",
            "postal_code": "539499248",
            "telephone_number": "608-297-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUETTE COUNTY DEPARTMENT OF HUMAN SERVICES-CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-297-3123"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Aug 6, 2015; 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.