JACKSON COUNTY PUBLIC HEALTH (NPI# 1720311475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720311475 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY PUBLIC HEALTH |
| Practice Address |
420 Hwy 54 West Black River Falls WI 54615-0457 |
| Mailing Address |
Po Box 457 420 Hwy 54 West Black River Falls WI 54615-0457 |
| Practice Telephone | 7152844301 |
| Practice Fax Number | 7152847713 |
| Mailing Telephone | 7152844301 |
| Mailing Fax Number | 7152847713 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | TODD BOWEN (DIRECTOR) |
| Authorized Official Telephone | 7152844301 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41858500 | 05 |
| Street Address |
420 HWY 54 WEST |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-0457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518985365 | Heather Lee Haines | Social Worker | 420 Hwy 54 West, Black River Falls, WI 54615 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952445025 | County of Jackson | Public Health or Welfare | 421 County Road R, Black River Falls, WI 54615-5129 | 2007-02-20 |
| 1275866170 | Jackson County Dept. of Health & Human Services | Public Health or Welfare | 421 County Road R, Black River Falls, WI 54615-5129 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292365 | Testing Made Simple LLC | Public Health or Welfare | 3125 W Michigan St, Milwaukee, WI 53208-4060 | 2020-10-15 |
| 1821621905 | Mommie & Me Prenatal Care Services | Public Health or Welfare | 9705 W Hampton Ave Apt 15, Milwaukee, WI 53225-4049 | 2020-02-18 |
| 1679035174 | Wrights' Naturals | Public Health or Welfare | 5632 W Burleigh St, Milwaukee, WI 53210-1549 | 2019-04-03 |
| 1992174601 | Lutheran Social Services of Wi and Upper Mi, Inc. | Public Health or Welfare | 115 W Merrimac St, Dodgeville, WI 53533-1449 | 2015-09-23 |
| 1841667466 | St. Ann Center for Intergenerational Care | Public Health or Welfare | 2450 W North Ave, Milwaukee, WI 53205 | 2015-08-31 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
| 1457689747 | Wee Care Day Care, Inc. | Public Health or Welfare | 3882 N Teutonia Ave, Milwaukee, WI 53206-1967 | 2009-11-24 |
| 1811134232 | Shorewood Health Department | Public Health or Welfare | 3930 N Murray Ave, Shorewood, WI 53211-2303 | 2009-01-08 |
| 1508011479 | County of Green | Public Health or Welfare | N3150 Highway 81, Monroe, WI 53566-9397 | 2008-11-19 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
Please comment or provide details below to improve the information on JACKSON COUNTY PUBLIC HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.