COUNTY OF BROWN NPI 1942305065

NPI Information

NPI: 1942305065
Provider Name: COUNTY OF BROWN

Doing Business As: BROWN COUNTY COMMUNITY TREATMENT CENTER - CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3150 GERSHWIN DRIVE
GREEN BAY, WI
ZIP 54311
Phone: (920) 391-4839
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COUNTY OF BROWN is a mental health (including community mental health center) clinic center in Green Bay, WI. COUNTY OF BROWN NPI is 1942305065. The provider is registered as an organization entity type.
The provider Is Doing Business As Brown County Community Treatment Center - Clinic.

The provider's business location address is:

3150 GERSHWIN DRIVE
GREEN BAY, WI
ZIP 54311-859
Phone: (920) 391-4839
Fax: (920) 391-4870

The provider's authorized official is Kevin P Lunog .
The authorized official title is Clinical Support Services Unit Coor and has the following contact phone number (920) 391-6959.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 2/11/2010.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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
1	000044710	MEDICARE PIN	WISCONSIN
2	42186400	MEDICAID	WISCONSIN
3	510142673068	OTHER	WISCONSIN	BLUE CROSS
4	CC6458	OTHER	WISCONSIN	RAILROAD MEDICARE

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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