NPIMap

Organization Active NPI

Sauk County

  • Public Health or Welfare Agency
  • Baraboo, WI
National Provider Identifier
1871626994
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
102 Issued in WI
Legal business name
SAUK COUNTY
Doing business as
Sauk County Health Department
Practice address
505 Broadway
372
Baraboo, WI 53913
Phone
(608) 355-3290
Fax
(608) 355-4329
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Cynthia Bodendein, RN
Title
Director
Phone
(608) 355-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 102 WI Primary

Addresses

Primary practice location

505 Broadway
372
Baraboo, WI 53913

Mailing address

505 Broadway
372
Baraboo, WI 53913
Phone (608) 355-3290

Other identifiers 1

IdentifierTypeStateIssuer
43081600MedicaidWI

Other names 1

  • Sauk County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sauk Cty Human SVC14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1871626994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BROADWAY",
            "address_2": "372",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "53913",
            "telephone_number": "608-355-3290",
            "fax_number": "608-355-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BROADWAY",
            "address_2": "372",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "53913",
            "telephone_number": "608-355-3290",
            "fax_number": "608-355-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "BODENDEIN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-355-3290",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": "102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43081600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sauk County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.