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LAC COURTE OREILLES PNCC PROGRAM NPI 1174848980


NPI Information

NPI: 1174848980
Provider Name: LAC COURTE OREILLES PNCC PROGRAM
Classification: Early Intervention Provider Agency - 252Y00000X
Entity Type: Organization
Address:
13380 W TREPANIA RD
HAYWARD, WI
ZIP 54843
Phone: (715) 638-5100
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LAC COURTE OREILLES PNCC PROGRAM is an early intervention provider agency in Hayward, WI. The provider is early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. LAC COURTE OREILLES PNCC PROGRAM NPI is 1174848980. The provider is registered as an organization entity type.

The provider's business location address is:

13380 W TREPANIA RD
HAYWARD, WI
ZIP 54843-186
Phone: (715) 638-5100
Fax: (715) 634-6107

The provider's authorized official is Rae E Baker .
The authorized official title is Billing Coordinator and has the following contact phone number (715) 638-5169.

The enumeration date for this NPI number is 4/5/2010 and was last updated on 5/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1252Y00000XEarly Intervention Provider AgencyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
144007600MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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