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NORTH CENTRAL REGION CCS PROGRAM
NPI 1043727936
Community/Behavioral Health in Medford, WI

Active since January 02, 2018
540 COLLEGE ST, MEDFORD, WI 54451(715) 748-3332(715) 748-3342 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North Central Region Ccs Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH CENTRAL REGION CCS PROGRAM (NPI 1043727936) is a healthcare organization registered as a community/behavioral health in Medford, Wisconsin and active in the NPI registry since January 2018. The organization lists Rhonda Rudolph, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1043727936
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNORTH CENTRAL REGION CCS PROGRAM
Location Address540 COLLEGE STMedford, WI 54451-2027
Mailing Address540 College StMedford, WI 54451-2027 · (715) 748-3332 · Fax (715) 748-3342
Phone(715) 748-3332
Fax(715) 748-3342
Organization SubpartNo
Authorized OfficialRhonda RudolphBusiness Manager · (715) 748-3332
Enumeration DateJanuary 2, 2018
Last NPPES UpdateJanuary 16, 2018
✔ NPI 1043727936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WI · 3193
Definition
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.
540 COLLEGE ST, Medford, WI 54451
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Other Identifiers 1

Medicaid42140500WI

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATIE L MASKE CSAC, ICS-IT
Counselor (Addiction (Substance Use Disorder))
540 COLLEGE ST
MEDFORD, WI 54451
Taylor County (715) 748-3332
ALEXANDRA DUVALL LCSW, SAC-IT
Social Worker (Clinical)
540 COLLEGE ST
MEDFORD, WI 54451
Taylor County (715) 748-3332
TAYLOR COUNTY HUMAN SERVICES DEPARTMENT
Community/Behavioral Health
540 COLLEGE ST
MEDFORD, WI 54451
Taylor County (715) 748-3332
LAURIE HOFFMAN MA, LPC
Counselor (Professional)
540 COLLEGE ST
MEDFORD, WI 54451
Taylor County (715) 748-3332
KATELYN VOSS
Nurse Practitioner
540 COLLEGE ST
MEDFORD, WI 54451
Taylor County (715) 748-3332
TAYLOR COUNTY HUMAN SERVICES
Clinic/Center (Community Health)
540 COLLEGE ST
MEDFORD, WI 54451
Taylor County (715) 748-3332
TAYLOR COUNTY HUMAN SERVICES DEPARTMENT
Clinic/Center (Community Health)
540 COLLEGE ST
MEDFORD, WI 54451
Taylor County (715) 748-3332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Central Region Ccs Program's NPI number?

The NPI number for North Central Region Ccs Program is 1043727936. It was assigned to this organization in the NPPES registry on January 2, 2018.

Where is North Central Region Ccs Program located?

North Central Region Ccs Program is located at 540 College St, Medford, WI 54451. The listed phone number is (715) 748-3332.

What is North Central Region Ccs Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for North Central Region Ccs Program was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.