James D Wiedenhoeft Partnership
Community/Behavioral Health in Shiocton, WI. Organization (NPI-2).
NPI number1497921183
StatusActive
Last updated in NPPESFeb 4, 2014
Details
- NPI
- 1497921183
- Entity type
- Organization (NPI-2)
- Legal business name
- James D Wiedenhoeft Partnership
- Organization subpart
- Yes
- Enumeration date
- May 2, 2008
- Last updated
- Feb 4, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1578 | WI | Yes |
Other names
- Medical & Counseling Associates (Doing Business As)
Practice location
N5367 Mayflower RdShiocton, WI 54170-8934
Phone 920-986-3003 · Fax 920-986-3004
Mailing address
N5367 Mayflower RdShiocton, WI 54170-8934
Phone 920-986-3003 · Fax 920-986-3004
Authorized official
Ann M Dake
Ceo
9209863003
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Behavioral Health Agency providers in Shiocton, WI
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