Active NPI
County of Ashland
- Public Health or Welfare Agency
- Ashland, WI
National Provider Identifier
1871640573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF ASHLAND
- Practice address
- 630 Sanborn Ave
Ashland, WI 54806-3537 - Phone
- (715) 682-7004
- Fax
- (715) 382-7924
- NPI assigned
- Jan 4, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane E Snilsberg
- Title
- Director
- Phone
- (715) 682-7004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | WI | Primary |
Addresses
Primary practice location
630 Sanborn Ave
Ashland, WI 54806-3537
Mailing address
630 Sanborn Ave
Ashland, WI 54806-3537
Phone (715) 682-7004
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41521700 | Medicaid | WI | |
| 41852700 | Medicaid | WI | |
| 32979771 | Medicaid | WI | |
| 41218000 | Medicaid | WI | |
| 43081800 | Medicaid | WI | |
| 43424000 | Medicaid | WI | |
| 44008200 | Medicaid | WI |
Other names 1
- Ashland County Health & Human Services Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070316000174 | WI | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416050133 | Practice locations: Ashland, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0662123 | Ashland County Health & Human Services | Certificate of waiver | Jun 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
301 Ellis Ave
Ashland, WI 54806
Phone (715) 682-3523
630 Sanborn Ave
Sanborn, WI 54806
Phone (715) 682-7004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871640573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 SANBORN AVE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063537",
"telephone_number": "715-682-7004",
"fax_number": "715-382-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 SANBORN AVE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063537",
"telephone_number": "715-682-7004",
"fax_number": "715-382-7924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF ASHLAND",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SNILSBERG",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "715-682-7004"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41521700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41852700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32979771",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41218000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43081800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43424000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44008200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ashland County Health & Human Services Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.