NPIMap

Organization Active NPI

Western Region Recovery & Wellness Consortia

  • Community/Behavioral Health Agency
  • Ladysmith, WI
National Provider Identifier
1972989796
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3065 Issued in WI
Legal business name
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Practice address
311 Miner Ave E Ste C240
Ladysmith, WI 54848-2826
Phone
(715) 532-2299
Fax
(715) 532-2126
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Mary K Zachau
Title
Fiscal Manager
Phone
(715) 726-7787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3065 WI Primary

Addresses

Primary practice location

311 Miner Ave E Ste C240
Ladysmith, WI 54848-2826

Mailing address

711 N Bridge St RM 305
Chippewa Falls, WI 54729-1845
Phone (715) 726-7787

Other identifiers 1

IdentifierTypeStateIssuer
3065OtherWISTATE OF WISCONSIN CERTIFICATION

Other names 1

  • Rusk Co. Dept. of Health & Human Services Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Chippewa26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

711 N Bridge St
Rm 305
Chippewa Fls, WI 54729
Phone (715) 726-7787

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1972989796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST RM 305",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291845",
            "telephone_number": "715-726-7787",
            "fax_number": "715-726-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MINER AVE E STE C240",
            "city": "LADYSMITH",
            "state": "WI",
            "postal_code": "548482826",
            "telephone_number": "715-532-2299",
            "fax_number": "715-532-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN REGION RECOVERY & WELLNESS CONSORTIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "ZACHAU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "715-726-7787"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN CERTIFICATION",
            "identifier": "3065",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rusk Co. Dept. of Health & Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ladysmith, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.