NPIMap

Organization Active NPI

Clark County Health Care Center

  • Occupational Therapy Assistant
  • Owen, WI
National Provider Identifier
1982812426
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
29-027 Issued in WI
Legal business name
CLARK COUNTY HEALTH CARE CENTER
Practice address
W4266 State Road 29
Owen, WI 54460-8932
Phone
(715) 229-2172
NPI assigned
May 18, 2007
Last updated
Sep 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Jane Schimdt
Title
Administrator
Phone
(715) 229-2172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X 29-027 WI Primary

Addresses

Primary practice location

W4266 State Road 29
Owen, WI 54460-8932

Mailing address

N13874 County Road O
Withee, WI 54498-9045

National Provider Directory

National Provider Directory
Tax ID family
Clark County Community6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1982812426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N13874 COUNTY ROAD O",
            "city": "WITHEE",
            "state": "WI",
            "postal_code": "544989045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W4266 STATE ROAD 29",
            "city": "OWEN",
            "state": "WI",
            "postal_code": "544608932",
            "telephone_number": "715-229-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SCHIMDT",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-229-2172"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "29-027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owen, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.