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Western Region Recovery & Wellness Consortia

Organization Active NPI Community/Behavioral Health Agency · Durand, WI

NPI 1992181002 · NPPES record last updated Jul 31, 2015

Key facts

NPI
1992181002
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
3065 (WI)
Legal business name
WESTERN REGION RECOVERY & WELLNESS CONSORTIA
Practice address
740 7TH Ave W
Durand, WI 54736-1628
Phone
(715) 672-8941
Fax
(715) 672-8593
NPI assigned
Jul 31, 2015
Organization subpart
No

Authorized official

Name
Mary K Zachau
Title
Fiscal Manager
Phone
(716) 726-7787

Corporate family (same tax ID) 25

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

National Provider Directory

Tax ID family
County of Chippewa (26 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

740 7TH Ave W
Durand, WI 54736-1628

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
3065OtherWISTATE OF WISCONSIN CERTIFICATION

Other names

  • Pepin County Department of Human Services Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 31, 2015.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1992181002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N BRIDGE ST",
            "address_2": "ROOM 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": "740 7TH AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361628",
            "telephone_number": "715-672-8941",
            "fax_number": "715-672-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN REGION RECOVERY & WELLNESS CONSORTIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "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": "716-726-7787"
    },
    "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": "Pepin County Department of Human Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durand, WI

All providers in Durand, WI · Community/Behavioral Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.