NPIMap

Organization Active NPI

Rawhide Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, WI
National Provider Identifier
1841334620
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RAWHIDE INC.
Practice address
E7475 Rawhide Rd
New London, WI 54961-9025
Phone
(920) 982-6100
NPI assigned
Feb 16, 2007
Last updated
May 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Mr. Alan Loux
Title
President and Ceo
Phone
(920) 531-2500

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU
Occupational Therapist 225X00000X NU
Mental Health Occupational Therapist 225XM0800X NU
Community/Behavioral Health Agency 251S00000X 2750 WI

Addresses

Primary practice location

E7475 Rawhide Rd
New London, WI 54961-9025

Mailing address

E7475 Rawhide Rd
New London, WI 54961-9025
Phone (920) 982-6100

Other identifiers 2

IdentifierTypeStateIssuer
100089129MedicaidWI
42251600MedicaidWI

National Provider Directory

National Provider Directory

Locations

446 N Westhill Blvd
Ste A
Appleton, WI 54914
Phone (877) 300-9101

301 N Broadway
Ste 303
De Pere, WI 54115
Phone (877) 300-9101

N5682 Cty Road K
Fond du Lac, WI 54937
Phone (877) 300-9101

5555 N Port Washington Rd
Ste 207
Glendale, WI 53217
Phone (414) 775-3682

143 E Lincoln Ave
Milwaukee, WI 53207

E7475 Rawhide Rd
New London, WI 54961
Phone (877) 300-9101

501 E Parkway Ave
Oshkosh, WI 54901

Practitioners & affiliated clinicians

Practitioners 60

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.

View all 60

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1841334620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E7475 RAWHIDE RD",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549619025",
            "telephone_number": "920-982-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E7475 RAWHIDE RD",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549619025",
            "telephone_number": "920-982-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAWHIDE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-05-31",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "LOUX",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "920-531-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089129",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42251600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.