NPIMap

Organization Active NPI

Arc Community Services, Inc.

  • Community/Behavioral Health Agency
  • Fond Du Lac, WI
National Provider Identifier
1982877411
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2358 Issued in WI
Legal business name
ARC COMMUNITY SERVICES, INC.
Practice address
17 Forest Ave
Fond Du Lac, WI 54935-4155
Phone
(920) 907-0813
Fax
(920) 907-0826
NPI assigned
Apr 4, 2008
Organization subpart
Yes
Parent organization
ARC COMMUNITY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Norman Briggs
Title
Director of Aoda Services
Phone
(608) 278-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2358 WI Primary

Addresses

Primary practice location

17 Forest Ave
Fond Du Lac, WI 54935-4155

Mailing address

17 Forest Ave
Fond Du Lac, WI 54935-4155
Phone (920) 907-0813

Other identifiers 1

IdentifierTypeStateIssuer
43171121MedicaidWI

Other names 1

  • ARC Fond du Lac Other name

National Provider Directory

National Provider Directory
Tax ID family
Arc Community Services Inc7 organizations share this tax ID, including this one
Part of
Arc Community Services Inc

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1982877411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FOREST AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354155",
            "telephone_number": "920-907-0813",
            "fax_number": "920-907-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FOREST AVE",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354155",
            "telephone_number": "920-907-0813",
            "fax_number": "920-907-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC COMMUNITY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARC COMMUNITY SERVICES, INC.",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "DIRECTOR OF AODA SERVICES",
        "authorized_official_telephone_number": "608-278-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "2358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43171121",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Fond du Lac",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.