Organization · Type 2 NPI

County of Shawano

Community/Behavioral Health Agency · Shawano, WI

NPI number 1497896641 Active

Practice location

504 Lakeland Rd
Shawano, WI 54166

Fax (715) 526-5542

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	1831 (WI)

Community/Behavioral Health Agency: 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 suppo…

49 other providers at this address

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NPI record

NPI: 1497896641
Entity type: Organization (Type 2)
Issued: Feb 9, 2007
Last updated: Dec 14, 2011
Status: Active

Other names

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Shawano County Department of Community Programs · doing business as

Authorized official

Ms. Barbara Larson-Herber
Executive Program Director
(715) 526-5547

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497896641

County of Shawano's National Provider Identifier is 1497896641, issued on Feb 9, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Shawano, WI. The record was last updated on Dec 14, 2011.