NPIMap

Organization Active NPI

County of Dunn

  • Family Medicine Physician
  • Menomonie, WI
National Provider Identifier
1861672040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COUNTY OF DUNN
Practice address
3001 US Highway 12 E
Menomonie, WI 54751-5569
Phone
(715) 232-2661
Fax
(715) 232-4010
NPI assigned
Nov 6, 2007
Organization subpart
Yes
Parent organization
COUNTY OF DUNNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Carmen Meyer
Title
Administrator
Phone
(715) 232-2661

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Skilled Nursing Facility 314000000X WI

Addresses

Primary practice location

3001 US Highway 12 E
Menomonie, WI 54751-5569

Mailing address

3001 US Highway 12 E
Menomonie, WI 54751-5569
Phone (715) 232-2661

Other identifiers 1

IdentifierTypeStateIssuer
32685700MedicaidWI

Other names 1

  • Dunn County Health Care Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051010000828 WI Part B Supplier - Clinic/Group Practice 2668497538 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Menomonie, WI

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Part of
Dunn Co Dept-Human SRV

Locations

651 Howison Cir
Menomonie, WI 54751
Phone (715) 231-4586

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861672040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547515569",
            "telephone_number": "715-232-2661",
            "fax_number": "715-232-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 US HIGHWAY 12 E",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547515569",
            "telephone_number": "715-232-2661",
            "fax_number": "715-232-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DUNN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF DUNN",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-232-2661",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32685700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunn County Health Care Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dunn County Health Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.