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WESTERN REGION RECOVERY & WELLNESS CONSORTIA NPI 1770969883


NPI Information

NPI: 1770969883
Provider Name: WESTERN REGION RECOVERY & WELLNESS CONSORTIA

Other Name: BUFFALO COUNTY DEPARTMENT OF HUMAN SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 52D0702271

Address:
407 S 2ND ST
ALMA, WI
ZIP 54610
Phone: (608) 685-4412
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WESTERN REGION RECOVERY & WELLNESS CONSORTIA is a community behavioral health in Alma, 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. WESTERN REGION RECOVERY & WELLNESS CONSORTIA NPI is 1770969883. The provider is registered as an organization entity type.
The provider Other Name Is Buffalo County Department Of Human Services.

The provider's business location address is:

407 S 2ND ST
ALMA, WI
ZIP 54610-715
Phone: (608) 685-4412
Fax: (608) 685-3342

The provider's authorized official is Mary K Zachau .
The authorized official title is Fiscal Manager and has the following contact phone number (715) 726-7787.

The CLIA number assigned to this NPI record is 52D0702271 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2015 and was last updated on 7/31/2015.


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
1251S00000XCommunity/Behavioral Health3066WISCONSINYes

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
13066OTHERWISCONSINSTATE OF WISCONSIN CERTIFICATION

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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