CMS-1500 Box 24J / 33a • NPI
1700466588
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
320800000X
Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness
Box 32 Service Location & ZIP+4
N36585 COUNTY ROAD QQQ, WHITEHALL, WI, 54773-4401
✓ 9-Digit EDI 837 ZIP+4 (54773-4401)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1700466588 (COUNTY OF TREMPEALEAU) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1700466588 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | COUNTY OF TREMPEALEAU |
| Plain-English Specialty | Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness NUCC Code: 320800000X (Community Based Residential Treatment Facility, Mental Illness) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | N36585 COUNTY ROAD QQQ, WHITEHALL, WI, 54773-4401 |
| Practice Telephone / Fax | Tel: (715) 538-9136 |
| Administrative Mailing Address | W20410 STATE ROAD 121, WHITEHALL, WI, 54773-9147 |
| Enumeration & Last Sync | Enumerated: 2021-04-14 | CMS Record Updated: 2021-04-14 |
| Authorized Official | LESLIE COBURN (Lead Account Clerk) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (320800000X)
What Does Taxonomy Code 320800000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320800000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COUNTY OF TREMPEALEAU)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
320800000X — Community Based Residential Treatment Facility, Mental IllnessPlain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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