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NORTHWEST WISCONSIN COMMUNITY SERVICES AGENCY INC. NPI 1053503946


NPI Information

NPI: 1053503946
Provider Name: NORTHWEST WISCONSIN COMMUNITY SERVICES AGENCY INC.
Classification: Case Management - 251B00000X
Entity Type: Organization

CLIA Number: 52D2007084

Address:
1805 N 14TH ST STE 4
SUPERIOR, WI
ZIP 54880
Phone: (715) 394-2750
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NORTHWEST WISCONSIN COMMUNITY SERVICES AGENCY INC. is a case management in Superior, WI. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. NORTHWEST WISCONSIN COMMUNITY SERVICES AGENCY INC. NPI is 1053503946. The provider is registered as an organization entity type.

The provider's business location address is:

1805 N 14TH ST STE 4
SUPERIOR, WI
ZIP 54880-802
Phone: (715) 394-2750
Fax: (715) 394-4651

The provider's authorized official is Mary Elizabeth Mahan .
The authorized official title is Wic Program Director and has the following contact phone number (715) 394-2750.

The CLIA number assigned to this NPI record is 52D2007084 - other - wic program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2007 and was last updated on 9/20/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
144012100MEDICAIDWISCONSIN

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: 4/28/2024

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