COUNTY OF GRANT NPI 1053468066

NPI Information

  • NPI: 1053468066
  • Provider Name: COUNTY OF GRANT
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: UNIFIED COMMUNITY SERVICES
  • CLIA Number: 52D2145542
  • Address: 1122 PROFESSIONAL DR
    DODGEVILLE, WI
    ZIP 53533
  • Phone: (608) 935-2776

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NPI Details

COUNTY OF GRANT is a community behavioral health in Dodgeville, 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. COUNTY OF GRANT NPI is 1053468066. The provider is registered as an organization entity type.
The provider Is Doing Business As Unified Community Services.

The provider's business location address is:

1122 PROFESSIONAL DR
DODGEVILLE, WI
ZIP 53533-176
Phone: (608) 935-2776

The provider's authorized official is Jan Sudmeier .
The authorized official title is Comptroller and has the following contact phone number (608) 723-6357.

The CLIA number assigned to this NPI record is 52D2145542 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/23/2009.

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
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthYes

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
1000088351MEDICARE PINWISCONSIN
243082600MEDICAIDWISCONSIN
342149100MEDICAIDWISCONSIN

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: 3/30/2025

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