STATE OF WISCONSIN
NPI 1235225616
Intermediate Care Facility, Intellectual Disabilities in Chippewa Falls, WI

Q: What is State Of Wisconsin's NPI number?

The NPI number for State Of Wisconsin is 1235225616. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Northern Wisconsin Center Excel.

Q: What is State Of Wisconsin's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since October 05, 2006

2820 EAST PARK AVENUE, CHIPPEWA FALLS, WI 54729(715) 723-7957 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About State Of Wisconsin NPPES

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

STATE OF WISCONSIN (NPI 1235225616), doing business as Northern Wisconsin Center Excel, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chippewa Falls, Wisconsin and active in the NPI registry since October 2006. The organization lists Craig Koehler, Director, as its authorized official.

NPPES Registry Identity

NPI1235225616

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSTATE OF WISCONSIN

Location Address2820 EAST PARK AVENUEChippewa Falls, WI 54729-0340

Mailing Address2820 East Park AvenueChippewa Falls, WI 54729-0340

Phone(715) 723-7957

Organization SubpartNo

Authorized OfficialCraig KoehlerDirector · (715) 723-5542

Enumeration DateOctober 5, 2006

Last NPPES UpdateApril 30, 20252 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1235225616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in WI · 2753

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

2820 EAST PARK AVENUE, Chippewa Falls, WI 54729

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Other Names 1

Doing Business AsNorthern Wisconsin Center Excel

Other Identifiers 1

Medicaid21050200WI

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 State Of Wisconsin's NPI number?

The NPI number for State Of Wisconsin is 1235225616. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Northern Wisconsin Center Excel.

Where is State Of Wisconsin located?

State Of Wisconsin is located at 2820 East Park Avenue, Chippewa Falls, WI 54729. The listed phone number is (715) 723-7957.

What is State Of Wisconsin's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for State Of Wisconsin was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.