FOND DU LAC COUNTY DCP CCS PROGRAM
NPI 1679746630
Community/Behavioral Health in Fond Du Lac, WI

NPI Status: Active since April 10, 2008

Contact Information

459 E 1ST ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 929-3500

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Community/Behavioral Health

About FOND DU LAC COUNTY DCP CCS PROGRAM

This page provides the complete NPI Profile along with additional information for Fond Du Lac County Dcp Ccs Program, a provider established in Fond Du Lac, Wisconsin operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1679746630 assigned on April 2008. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Ruth Ryan (Business Systems Manager)

NPI: 1679746630
Provider Name: FOND DU LAC COUNTY DCP CCS PROGRAM
Entity Type: Organization
Location Address: 459 E 1ST ST FOND DU LAC, WI 54935
Location Phone: (920) 929-3500
Mailing Address: 459 E 1ST ST FOND DU LAC, WI 54935
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 04-10-2008
Last Update Date: 04-10-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Community/Behavioral Health
Taxonomy Code: 251S00000X
Type: Agencies
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: RUTH RYAN
Authorized Official Title: BUSINESS SYSTEMS MANAGER
Authorized Official Phone: (920) 929-3437

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
41762900	MEDICAID (05)	WI

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	7	9	7	4	6	6	3	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	14	9	14	4	12	6	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 4 + 4 + 1 + 2 + 6 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1679746630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

FOND DU LAC COUNTY

Community/Behavioral Health

459 E 1ST ST
FOND DU LAC, WI
ZIP 54935

About FOND DU LAC COUNTY DCP CCS PROGRAM

Location Map

Specialty - Primary Taxonomy

Community/Behavioral Health

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

RUTH RYAN

Additional Identifiers

Reviews for FOND DU LAC COUNTY DCP CCS PROGRAM

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is FOND DU LAC COUNTY DCP CCS PROGRAM's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does FOND DU LAC COUNTY DCP CCS PROGRAM accept?