FAMILY & CHILDREN'S CENTER, INC (NPI# 1285767657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285767657 |
| Entity Type | Organization |
| Organization Name | FAMILY & CHILDREN'S CENTER, INC |
| Other Organization Name | FAMILY & CHILDREN'S CENTER |
| Practice Address |
409 County Road R Black River Falls WI 54615-5129 |
| Mailing Address |
1707 Main St La Crosse WI 54601-4200 |
| Practice Telephone | 7152849477 |
| Practice Fax Number | 7152845547 |
| Mailing Telephone | 6087850001 |
| Mailing Fax Number | 6087850002 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | MIKE BOEHM (CEO, PRESIDENT) |
| Authorized Official Telephone | 6087850001 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAMILY & CHILDREN'S CENTER, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | HPFIN77035 | 01 |
| WI | 43423400 | 05 | |
| UCARE | 125604E211 | 01 |
| Other Name | Type Code |
|---|---|
| Family & Children's Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548393911 | Family & Children's Center, Inc | Clinic/Center | 1100 Linden Dr, Holmen, WI 54636 | 2007-03-14 |
| 1467583765 | Family & Children's Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2505 Weston St, La Crosse, WI 54601-6851 | 2007-03-08 |
| 1043341639 | Family & Children's Center, Inc | Case Management | 601 Franklin Street, Winona, MN 55987-3822 | 2007-03-08 |
| 1265563894 | Family & Children's Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 320 8th St N, La Crosse, WI 54601-3313 | 2007-03-07 |
| 1235260878 | Family & Children's Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2507 Weston St, La Crosse, WI 54601-6851 | 2007-03-07 |
| 1073842076 | Family & Children's Center, Inc | Clinic/Center | 601 Franklin St, Winona, MN 55987-3822 | 2009-12-22 |
| 1023290772 | Family & Children's Center, Inc | Clinic/Center | 601 Franklin St, Winona, MN 55987-3822 | 2007-12-04 |
| 1366623522 | Family & Children's Center, Inc | Community/Behavioral Health | 2118 Campus Dr Se, Ste 100, Rochester, MN 55904-6492 | 2007-11-16 |
| 1457532616 | Family & Children's Center, Inc | Clinic/Center | 1321 N Main St, Viroqua, WI 54665-1156 | 2007-11-16 |
| 1821112988 | Family & Children's Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1707 Main St, La Crosse, WI 54601-4200 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | FAMILY & CHILDREN'S CENTER, INC. | 32 School Street, Montpelier, VT 05602 |
| Street Address |
409 COUNTY ROAD R |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-5129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518020403 | Roberta L Holman | Counselor | 409 County Road R, Black River Falls, WI 54615-5129 | 2006-12-19 |
| 1982918124 | Lt Resources | Community/Behavioral Health | 409 County Road R, Black River Falls, WI 54615-5129 | 2010-07-29 |
| 1871825315 | Family & Children's Center | Clinic/Center | 409 County Road R, Black River Falls, WI 54615-5129 | 2010-02-09 |
| 1932372612 | Lynn L Hoornstra | Counselor | 409 County Road R, Black River Falls, WI 54615-5129 | 2008-04-02 |
| 1275716391 | Kristin Berg | Registered Nurse | 409 County Road R, Black River Falls, WI 54615-5129 | 2007-12-12 |
| 1750563235 | Allison Christine Else | Case Manager/Care Coordinator | 409 County Road R, Black River Falls, WI 54615-5129 | 2007-11-27 |
| 1285816769 | Carol Ann Jarrett | Case Manager/Care Coordinator | 409 County Road R, Black River Falls, WI 54615-5129 | 2007-11-27 |
| 1558542027 | Cheryl Lynn Hanson-liu | Case Manager/Care Coordinator | 409 County Road R, Black River Falls, WI 54615-5129 | 2007-11-26 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1720550981 | Purple Lotus Counseling LLC | Clinic/Center | 516 E Wisconsin Ave Ste C, Appleton, WI 54911-4864 | 2018-12-27 |
| 1831677079 | Creative Calm Counseling LLC | Clinic/Center | 2380 State Road 44 Ste G, Oshkosh, WI 54904-6440 | 2018-07-31 |
| 1407370398 | Tombolo, LLC | Clinic/Center | 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 | 2017-08-01 |
| 1730530239 | Home Away From Home Living Services LLC | Clinic/Center | 8127 W Herbert Ave, Milwaukee, WI 53218-3632 | 2016-06-26 |
| 1891149928 | Tcg Holdings 14, LLC | Clinic/Center | 127 N Franklin St Ste 206, Port Washington, WI 53074-1948 | 2016-04-14 |
| 1427410992 | Shelley Boehm Mattia Md,adult Psychiatry, LLC | Clinic/Center | 428 Doty St, Green Bay, WI 54301-4509 | 2016-03-24 |
| 1982002242 | Family & Childrens Center | Clinic/Center | 920 W Wisconsin St, Sparta, WI 54656-4217 | 2014-12-18 |
| 1154675924 | Northshore Clinic LLC | Clinic/Center | 805 N 6th St, Sheboygan, WI 53081-4113 | 2012-11-01 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
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| 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.