NORTHWEST PASSAGE - NORTHWEST PASSAGE II
NPI 1285759035
Residential Treatment Facility, Emotionally Disturbed Children in Spooner, WI

Q: What is Northwest Passage - Northwest Passage II's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since March 20, 2007

1661 HAMS RD, SPOONER, WI 54801(715) 635-7204 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northwest Passage - Northwest Passage Ii NPPES

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

NORTHWEST PASSAGE - NORTHWEST PASSAGE II (NPI 1285759035) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Spooner, Wisconsin and active in the NPI registry since March 2007. The organization lists Mark Elliot, Program Director, as its authorized official.

NPPES Registry Identity

NPI1285759035

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameNORTHWEST PASSAGE - NORTHWEST PASSAGE II

Location Address1661 HAMS RDSpooner, WI 54801-9138

Mailing Address1661 Hams RdSpooner, WI 54801-9138 · (715) 635-7204

Phone(715) 635-7204

Organization SubpartNo

Authorized OfficialMark ElliotProgram Director · (715) 327-4402

Enumeration DateMarch 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1285759035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in WI · 1004165

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

1661 HAMS RD, Spooner, WI 54801

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Other Identifiers 2

Medicaid43015500WI

Other3181NOMN · Bcbs Of Mn

Other Providers at the Same Location NPPES

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

ASHLEY L GOFFIN

Social Worker (Clinical)

1661 HAMS RD
SPOONER, WI 54801

Washburn County (715) 635-7204

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 Northwest Passage - Northwest Passage II's NPI number?

The NPI number for Northwest Passage - Northwest Passage II is 1285759035. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Northwest Passage - Northwest Passage II located?

Northwest Passage - Northwest Passage II is located at 1661 Hams Rd, Spooner, WI 54801. The listed phone number is (715) 635-7204.

What is Northwest Passage - Northwest Passage II's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Northwest Passage - Northwest Passage II was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.