Organization Active NPI

County of Chippewa

  • Home Health Agency
  • Chippewa Falls, WI
National Provider Identifier
1841271665
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COUNTY OF CHIPPEWA
Doing business as
Chippewa County Dept of Public Health
Practice address
711 N Bridge St RM 121
Chippewa Falls, WI 54729-1845
Phone
(715) 726-7900
Fax
(715) 726-7910
NPI assigned
Nov 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mrs. Jean C Durch, RN, MPH
Title
County Health Officer/Director
Phone
(715) 726-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

711 N Bridge St RM 121
Chippewa Falls, WI 54729-1845

Mailing address

711 N Bridge St RM 121
Chippewa Falls, WI 54729-1845
Phone (715) 726-7900

Other identifiers 1

IdentifierTypeStateIssuer
41518300MedicaidWI

Other names 1

  • Chippewa County Dept of Public Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170213002019 WI Part B Supplier - Mass Immunization (Roster Biller Only) 2668367749 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chippewa Falls, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

711 N Bridge St
Chippewa Fls, WI 54729
Phone (715) 726-7878

711 N Bridge St
Ste 121
Chippewa Fls, WI 54729
Phone (715) 726-7905

711 N Bridge St
Ste 222
Chippewa Fls, WI 54729
Phone (715) 726-7905

Practitioners & affiliated clinicians

Practitioners 2

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": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1841271665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST RM 121",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291845",
            "telephone_number": "715-726-7900",
            "fax_number": "715-726-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST RM 121",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291845",
            "telephone_number": "715-726-7900",
            "fax_number": "715-726-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHIPPEWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "DURCH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COUNTY HEALTH OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "715-726-7900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41518300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa County Dept of Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.