COUNTY OF SHAWANO (NPI# 1174716385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174716385 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SHAWANO |
| Other Organization Name | SHAWANO COUNTY HEALTH DEPARTMENT |
| Practice Address |
311 N Main St Rm 7 Shawano WI 54166-2145 |
| Practice Telephone | 7155264808 |
| Practice Fax Number | 7155245792 |
| Mailing Telephone | 7155264808 |
| Mailing Fax Number | 7155245792 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2012-05-03 |
| Authorized Official Name | MRS. REBECCA HOVARTER (HEALTH OFFICER) |
| Authorized Official Telephone | 7155264805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41851200 | 05 |
| Other Name | Type Code |
|---|---|
| Shawano County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088495 | County of Shawano | Intermediate Care Facility, Mentally Retarded | N4231 State Highway 22, Shawano, WI 54166-6130 | 2005-07-26 |
| 1831454370 | County of Shawano | Home Health | 504 Lakeland Road, Shawano, WI 54166-3836 | 2012-07-11 |
| 1407014020 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-30 |
| 1336307008 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-29 |
| 1750549432 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-29 |
| 1215195987 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2008-05-29 |
| 1558528729 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166 | 2008-05-16 |
| 1497896641 | County of Shawano | Community/Behavioral Health | 504 Lakeland Rd, Shawano, WI 54166 | 2007-02-09 |
| 1124028519 | County of Shawano | Skilled Nursing Facility | N4231 State Highway 22, Shawano, WI 54166-6130 | 2005-07-28 |
| Street Address |
311 N MAIN ST RM 7 |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137477 | Green & Healthy Communities LLC | Clinic/Center | 2075 N Cambridge Ave Apt 106, Milwaukee, WI 53202-0015 | 2020-06-01 |
| 1548348311 | County of Walworth | Clinic/Center | 1910 County Road Nn, Elkhorn, WI 53121 | 2006-11-01 |
| 1265944573 | County of Walworth | Clinic/Center | 1910 County Road Nn, Elkhorn, WI 53121 | 2017-10-26 |
| 1649520008 | Athlete Pharmacist LLC | Clinic/Center | 211 Nautilus Dr Apt 8, Madison, WI 53705-4358 | 2012-09-13 |
Please comment or provide details below to improve the information on COUNTY OF SHAWANO.
| 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.