CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT – NPI #1588703078
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT is a residential treatment facility located in MADISON, WI. NPPES has assigned the NPI number 1588703078 to CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT on February 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT” is a dba name, the actual legal business name for this organization is STATE OF WISCONSIN. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 16 years ago on Oct 21, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT below.

NPI Profile for
STATE OF WISCONSIN

NPI Number
1588703078
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STATE OF WISCONSIN
Doing Business As (dba): CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT
Primary location
317 KNUTSON DR
MADISON, WI 53704-1133
Phone: (608) 301-1946 Fax: (608) 301-1871
Mailing address
Same as primary location
Organization Subpart
Yes - CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT is subpart of another organization.
Authorized Official
JANICE HOLLING
CENTER DIRECTOR
Phone: (608) 301-9229
Updated
Identifiers

Identifiers for CENTRAL WISCONSIN CENTER PHARMACY DEPARTMENT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDPWI5106770
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 WI 1000-042

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.