NPIMap

Organization Active NPI

Price County Human Services Dept

  • Community/Behavioral Health Agency
  • Phillips, WI
National Provider Identifier
1972779155
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PRICE COUNTY HUMAN SERVICES DEPT
Practice address
104 S Eyder Ave
Phillips, WI 54555-1342
Phone
(715) 339-2158
Fax
(715) 339-4018
NPI assigned
May 7, 2008
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Marilyn Schreuder, MSW
Title
Director
Phone
(715) 339-2158

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

104 S Eyder Ave
Phillips, WI 54555-1342

Mailing address

104 S Eyder Ave
PO Box 88
Phillips, WI 54555-1342
Phone (715) 339-2158

Other identifiers 2

IdentifierTypeStateIssuer
43075000MedicaidWI
43425100MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Price County Human Services Dept5 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": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1972779155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S EYDER AVE",
            "address_2": "PO BOX 88",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551342",
            "telephone_number": "715-339-2158",
            "fax_number": "715-339-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S EYDER AVE",
            "city": "PHILLIPS",
            "state": "WI",
            "postal_code": "545551342",
            "telephone_number": "715-339-2158",
            "fax_number": "715-339-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE COUNTY HUMAN SERVICES DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "SCHREUDER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-339-2158",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43075000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43425100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillips, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.