HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY


Address: 1225 Langlade Rd, Antigo, WI 54409-2762
Phone: 7156276694

HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY (NPI# 1225150170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225150170
Entity Type Organization
Organization Name HUMAN SERVICES BOARD SERVING NORTH CENTRAL HEALTH CARE FACILITY
Other Organization Name NORTH CENTRAL HEALTH CARE
Practice Address 1225 Langlade Rd
Antigo
WI 54409-2762
Mailing Address 1100 Lake View Dr
Wausau
WI 54403-6785
Practice Telephone 7156276694
Practice Fax Number 7156276645
Mailing Telephone 7158484600
Mailing Fax Number 7158455398
Enumeration Date 2007-04-04
Last Update Date 2017-07-19
Authorized Official Name MICHAEL LOY (INTERIM CEO)
Authorized Official Telephone 7158484600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
2298 WI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WI 43426700 05

Other Provider/Organization Names

Other Name Type Code
North Central Health Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932714292 Human Services Board Serving North Central Health Care Facility Special Hospital 2380 Marshall St., Wausau, WI 54403 2020-09-14
1780222083 Human Services Board Serving North Central Health Care Facility Substance Abuse Rehabilitation Facility 1100 Lake View Dr, Wausau, WI 54403-6799 2019-12-17
1689992786 Human Services Board Serving North Central Health Care Facility Clinic/Center 1100 Lake View Dr, Wausau, WI 54403-6785 2010-05-13
1932221884 Human Services Board Serving North Central Health Care Facility Clinic/Center 1100 Lake View Dr, Wausau, WI 54403-6785 2007-04-04
1316069263 Human Services Board Serving North Central Health Care Facility Clinic/Center 1100 Lake View Dr, Wausau, WI 54403-6785 2007-04-04
1134241086 Human Services Board Serving North Central Health Care Facility Clinic/Center 607 N Sales St Ste 309, Merrill, WI 54452-1624 2007-04-04
1861514713 Human Services Board Serving North Central Health Care Facility Clinic/Center 1100 Lake View Dr, Wausau, WI 54403-6785 2007-04-04
1770605628 Human Services Board Serving North Central Health Care Facility Clinic/Center 1100 Lake View Dr, Wausau, WI 54403-6785 2007-04-04
1568570802 Human Services Board Serving North Central Health Care Facility Clinic/Center 1100 Lake View Dr, Wausau, WI 54403-6785 2006-08-28
1205944543 Human Services Board Serving North Central Health Care Facility Clinic/Center 1100 Lake View Dr, Wausau, WI 54403-6785 2006-08-28

Office Location

Street Address 1225 LANGLADE RD
City ANTIGO
State WI
Zip Code 54409-2762

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134234206 Human Services Board Serving North Central Heatlh Care Clinic/Center 1225 Langlade Rd, Antigo, WI 54409-2762 2006-08-20
1700341229 Stephanie Marie Hilgart Counselor 1225 Langlade Rd, Antigo, WI 54409-2762 2019-02-08
1245729441 Lauren K Bessa Social Worker 1225 Langlade Rd, Antigo, WI 54409-2762 2018-05-03
1083143291 Tracey M Gusman Counselor 1225 Langlade Rd, Antigo, WI 54409-2762 2017-06-09
1699130393 Kristin King Registered Nurse 1225 Langlade Rd, Antigo, WI 54409-2762 2015-12-22
1134489883 Anna M Wheelock Counselor 1225 Langlade Rd, Antigo, WI 54409-2762 2012-05-29
1821313859 Shelly A Gallenberg Counselor 1225 Langlade Rd, Antigo, WI 54409-2762 2010-04-01
1144543034 Sarah Petroskey Counselor 1225 Langlade Rd, Antigo, WI 54409-2762 2010-03-05
1407008543 Langlade County Case Management 1225 Langlade Rd, Antigo, WI 54409-2762 2008-10-21
1932397783 Jennifer Marie Larsen-fritcher Speech-Language Pathologist 1225 Langlade Rd, Antigo, WI 54409-2762 2007-10-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454036 Jason Peter Cueny Pharmacist 200 E Highway 64, Antigo, WI 54409 2020-10-15
1770194524 Christpher George Rowe Technician 825 Clermont S Apt 7, Antigo, WI 54409 2020-08-14
1033753512 Joseph Gerger Technician 711 Badger Ave, Antigo, WI 54409 2019-10-29
1225368780 Integrated Pain Solutions LLC Clinic/Center 2327 Neva Road, Antigo, WI 54409 2010-01-06
1558525212 Jessica E Rosenberg Social Worker 310 South Superior Street, Antigo, WI 54409 2008-07-11
1053433292 Raymond J Portman Dentist 705 Fifth Ave, Antigo, WI 54409 2007-04-06
1699801316 Rick L Perkins Obstetrics & Gynecology Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 2007-02-26
1205999646 Earl J Roth Chiropractor 612 Century Ave, Antigo, WI 54409 2006-12-18
1811061187 Rosanne Schermetzler Occupational Therapist 720 Ackley Street, Antigo, WI 54409 2006-11-20
1912084070 Antigo Total Therapy & Sports Rehab Center Inc Physical Therapist 720 Askley Street, Antigo, WI 54409 2006-11-01
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134234206 Human Services Board Serving North Central Heatlh Care Clinic/Center 1225 Langlade Rd, Antigo, WI 54409-2762 2006-08-20
1841312790 Human Services Board Serving North Central Health Care Clinic/Center 1225 Langlade Rd, Antigo, WI 54409-2762 2007-04-04
1750403606 Human Services Board Serving North Central Health Care Clinic/Center 1225 Langlade Rd, Antigo, WI 54409-2762 2007-04-04

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1437317708 Ascension Medical Group-fox Valley Wisconsin, Inc Clinic/Center 1160 Service Rd, Kiel, WI 53042 2008-05-23
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Competitor

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City ANTIGO
Zip Code 54409

Improve Information

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Dataset Information

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.

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