NPIMap

Organization Active NPI

Ams of Wisconsin, LLC

  • Methadone Clinic
  • Minocqua, WI
National Provider Identifier
1831851799
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
AMS OF WISCONSIN, LLC
Practice address
9792 Hwy 70 Ste 3
Minocqua, WI 54548-8747
Phone
(715) 356-0034
Fax
(715) 356-0037
NPI assigned
Oct 8, 2021
Organization subpart
Yes
Parent organization
AMS OF WISCONSIN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
George Michael Errico
Title
President
Phone
(727) 301-3070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

9792 Hwy 70 Ste 3
Minocqua, WI 54548-8747

Mailing address

9792 Hwy 70 Ste 3
Minocqua, WI 54548-8747
Phone (715) 356-0034

Other names 1

  • AMS of Wisconsin-Minocqua Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL private Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Ams of Wisconsin-Janesville LLC4 organizations share this tax ID, including this one
Part of
Ams of Wisconsin-Janesville LLC

Other organizations with this tax ID 3

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

Locations

9792 Highway 70
Ste 3
Minocqua, WI 54548
Phone (715) 356-0034

Practitioners & affiliated clinicians

Practitioners 3

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": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1831851799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9792 HWY 70 STE 3",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488747",
            "telephone_number": "715-356-0034",
            "fax_number": "715-356-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9792 HWY 70 STE 3",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545488747",
            "telephone_number": "715-356-0034",
            "fax_number": "715-356-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS OF WISCONSIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMS OF WISCONSIN, LLC",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "ERRICO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-301-3070"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "private",
            "affiliation": "N",
            "endpointDescription": "private",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9792 Hwy 70 Ste 3",
            "city": "Minocqua",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545488747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AMS of Wisconsin-Minocqua",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minocqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.