NPIMap

Organization Active NPI

St Croix County

  • Rehabilitation Clinic/Center
  • New Richmond, WI
National Provider Identifier
1942762687
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ST CROIX COUNTY
Doing business as
St. Croix County Birth to Three
Practice address
1752 Dorset LN
New Richmond, WI 54017-2452
Phone
(715) 246-6991
Fax
(715) 246-8413
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Authorized official

Name
Fay Strenke
Title
Accounts Receivable Supervisor
Phone
(715) 246-8217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

1752 Dorset LN
New Richmond, WI 54017-2452

Mailing address

1752 Dorset LN
New Richmond, WI 54017-2452
Phone (715) 246-6991

Other identifiers 1

IdentifierTypeStateIssuer
41211600MedicaidWI

Other names 1

  • St. Croix County Birth to Three Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Croix Cty Public HLT5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1942762687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 DORSET LN",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172452",
            "telephone_number": "715-246-6991",
            "fax_number": "715-246-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 DORSET LN",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540172452",
            "telephone_number": "715-246-6991",
            "fax_number": "715-246-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CROIX COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "STRENKE",
        "authorized_official_first_name": "FAY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SUPERVISOR",
        "authorized_official_telephone_number": "715-246-8217"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41211600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Croix County Birth to Three",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Croix County Birth to Three",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.