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PIERCE COUNTY DEPT OF HUMAN SERVICES NPI 1356414940


NPI Information

NPI: 1356414940
Provider Name: PIERCE COUNTY DEPT OF HUMAN SERVICES
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 52D2225272

Address:
412 W KINNE ST
ELLSWORTH, WI
ZIP 54011
Phone: (715) 273-6770
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PIERCE COUNTY DEPT OF HUMAN SERVICES is a community behavioral health in Ellsworth, WI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. PIERCE COUNTY DEPT OF HUMAN SERVICES NPI is 1356414940. The provider is registered as an organization entity type.

The provider's business location address is:

412 W KINNE ST
ELLSWORTH, WI
ZIP 54011-670
Phone: (715) 273-6770
Fax: (715) 273-6862

The provider's authorized official is Reginald L Bicha .
The authorized official title is Director and has the following contact phone number (715) 273-6770.

The CLIA number assigned to this NPI record is 52D2225272 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


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
1251S00000XCommunity/Behavioral Health1737WISCONSINYes

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
192046OTHERMINNESOTAPREFERRED ONE
291118PIOTHERMINNESOTABCBS MENTAL HEALTH
39128PIOTHERMINNESOTABCBS ALCOHOL AND DRUG
4120213OTHERMINNESOTAHEALTHPARTNERS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.