COUNTY OF PIERCE


Address: 412 W Kinne St, Ellsworth, WI 54011
Phone: 7152736770

COUNTY OF PIERCE (NPI# 1376618157) 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) 1376618157
Entity Type Organization
Organization Name COUNTY OF PIERCE
Practice Address 412 W Kinne St
Ellsworth
WI 54011
Mailing Address Po Box 670
Ellsworth
WI 54011-0670
Practice Telephone 7152736770
Practice Fax Number 7152736862
Mailing Telephone 7152736770
Mailing Fax Number 7152736862
Enumeration Date 2006-11-21
Last Update Date 2015-05-15
Authorized Official Name RONALD SCHMIDT (DIRECTOR)
Authorized Official Telephone 7152736770
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 1737 WI Agencies

Other Provider Identifier

State Issuer Identifier Type Code
WI 42115600 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417938523 County of Pierce Home Health 412 W Kinne St, Ellsworth, WI 54011-9230 2005-11-07
1497757207 County of Pierce Psychiatric Unit 3580 Pacific Ave, Tacoma, WA 98418-7915 2005-08-11
1346650553 County of Pierce Case Management 1305 Tacoma Ave S, Suite 104, Tacoma, WA 98402-1903 2014-04-28
1417190612 County of Pierce Community/Behavioral Health 3580 Pacific Ave, Tacoma, WA 98418-7915 2009-04-17
1043459720 County of Pierce Community/Behavioral Health 3580 Pacific Ave, Tacoma, WA 98418-7915 2009-02-19
1962670604 County of Pierce Community/Behavioral Health 3580 Pacific Ave, Tacoma, WA 98418-7915 2008-02-15
1225247596 County of Pierce Pharmacy 3580 Pacific Ave, Tacoma, WA 98418-7915 2007-05-22
1134334212 County of Pierce Intermediate Care Facility, Mental Illness 3580 Pacific Ave, Tacoma, WA 98418-7915 2007-05-11
1518017136 County of Pierce Community/Behavioral Health 3580 Pacific Ave, Tacoma, WA 98418-7915 2007-01-12
1336299957 County of Pierce Substance Abuse Rehabilitation Facility 3580 Pacific Ave, Tacoma, WA 98418-7915 2007-01-12

Office Location

Street Address 412 W KINNE ST
City ELLSWORTH
State WI
Zip Code 54011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417938523 County of Pierce Home Health 412 W Kinne St, Ellsworth, WI 54011-9230 2005-11-07
1003188434 Catherine Colette Martin Social Worker 412 W Kinne St, Ellsworth, WI 54011-9230 2012-02-01
1154693638 Michelle Jean Meinen Social Worker 412 W Kinne St, Ellsworth, WI 54011-9230 2012-01-31
1265722276 Kristie F Simmons Counselor 412 W Kinne St, Ellsworth, WI 54011-9230 2011-04-11
1215186119 Pierce County Office On Aging Home Delivered Meals 412 W Kinne St, Ellsworth, WI 54011-9230 2008-09-16
1841484904 Jennifer M Borst Dental Hygienist 412 W Kinne St, Pierce Co. Public Health, Ellsworth, WI 54011-9230 2007-08-31
1689740565 Pierce County Dept of Human Services Community/Behavioral Health 412 W Kinne St, Ellsworth, WI 54011 2006-11-24
1346314655 Pierce County Dept of Human Services Community/Behavioral Health 412 W Kinne St, Ellsworth, WI 54011 2006-11-20
1851465546 County of Pierce Community/Behavioral Health 412 W Kinne St, Ellsworth, WI 54011 2006-11-17
1285707190 Marguerite M Anderson Social Worker 412 W Kinne St, Ellsworth, WI 54011 2006-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942864186 Cb Therapy Group, LLC Social Worker 187 E Main Street, Ellsworth, WI 54011 2019-04-23
1124548201 Samantha K Johnson Chiropractor 187 East Main, Ellsworth, WI 54011 2017-06-21
1609047869 Shopko Stores Operating Co LLC Pharmacy 598 Lucas Lane, Ellsworth, WI 54011 2008-03-17
1134301955 Ellsworth Community School District Local Education Agency (LEA) 300 Hillcrest St, Box 1500, Ellsworth, WI 54011 2007-12-04
1730219239 Krisan Shaw Dentist 501 W. Lucas Lane, Ellsworth, WI 54011 2007-03-06
1770659658 Pierce County Dept of Human Services Community/Behavioral Health 412 W Kinne Street, Ellsworth, WI 54011 2006-11-24
1629633912 Village Pharmacy Healthcare Inc Pharmacy 157 E Main St, Ellsworth, WI 54011 2019-05-02
1396162020 Shaw Family Dental Sc Dentist 501 W. Lucas Lane, Ellsworth, WI 54011 2014-03-19
1093085680 Amy Alissa Kohls Occupational Therapy Assistant 403 N Maple St, Ellsworth Care Center, Ellsworth, WI 54011 2012-01-12
1659557510 Ellsworth Chiropractic Inc Chiropractor 187 E Main St, Ellsworth, WI 54011 2008-01-10
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518191675 Washington Hancock Community Agency Community/Behavioral Health 248 Bucksport Road, Ellsworth, ME 04605 2009-05-05
1770659658 Pierce County Dept of Human Services Community/Behavioral Health 412 W Kinne Street, Ellsworth, WI 54011 2006-11-24
1558839969 Ohi Community/Behavioral Health 190 Main St, Ellsworth, ME 04605-1919 2018-11-05
1770956393 Kidspeace National Centers of New England, Inc. Community/Behavioral Health 16 Kids Peace Way, Ellsworth, ME 04605-3483 2015-11-04
1275919003 Western Region Recovery & Wellness Consortia Community/Behavioral Health 412 West Kinne Street, Ellsworth, WI 54011-0670 2015-08-04
1780024208 Family Youth Integrated Counseling, Inc. Community/Behavioral Health 64 Church St, Ellsworth, ME 04605-1658 2013-06-28
1326229584 Downeast Community Mental Health Center Community/Behavioral Health 10 Hancock St, Ellsworth, ME 04605-2015 2007-11-16
1245353796 Bayview Center for Mental Health Community/Behavioral Health 5 School St, Suite 7, Ellsworth, ME 04605-1932 2007-04-09
1689740565 Pierce County Dept of Human Services Community/Behavioral Health 412 W Kinne St, Ellsworth, WI 54011 2006-11-24
1346314655 Pierce County Dept of Human Services Community/Behavioral Health 412 W Kinne St, Ellsworth, WI 54011 2006-11-20
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Competitor

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City ELLSWORTH
Zip Code 54011

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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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