Organization Active NPI

Douglas County Department of Health & Human Services

  • Case Management Agency
  • Superior, WI
National Provider Identifier
1992971980
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DOUGLAS COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES
Practice address
1316 N 14TH St
Suite 400
Superior, WI 54880-1773
Phone
(715) 395-1304
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Patricia Schanen
Title
Director
Phone
(715) 395-1304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X WI Primary

Addresses

Primary practice location

1316 N 14TH St
Suite 400
Superior, WI 54880-1773

Mailing address

1316 N 14TH St
Suite 400
Superior, WI 54880-1773
Phone (715) 395-1304

Other identifiers 1

IdentifierTypeStateIssuer
43079500MedicaidWI

National Provider Directory

National Provider Directory

Locations

1316 N 14th St
Ste 400
Superior, WI 54880
Phone (715) 395-1304

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1992971980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 N 14TH ST",
            "address_2": "SUITE 400",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801773",
            "telephone_number": "715-395-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 N 14TH ST",
            "address_2": "SUITE 400",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548801773",
            "telephone_number": "715-395-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SCHANEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-395-1304"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43079500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.