CLARK COUNTY HEALTH CARE CENTER — NPI 1982812426 (Licensed & Credentialed Occupational Therapy Assistant in OWEN, WI)

CMS-1500 Box 24J / 33a • NPI

1982812426

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

224Z00000X

Licensed & Credentialed Occupational Therapy Assistant

Box 32 Service Location & ZIP+4

W4266 STATE ROAD 29, OWEN, WI, 54460-8932

✓ 9-Digit EDI 837 ZIP+4 (54460-8932)

Practice Phone & Referral Fax

(715) 229-2172

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1982812426 (CLARK COUNTY HEALTH CARE CENTER) 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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1982812426` (NPI-2 Organization / Facility)
Provider / Legal Name	CLARK COUNTY HEALTH CARE CENTER
Plain-English Specialty	Licensed & Credentialed Occupational Therapy Assistant NUCC Code: `224Z00000X` (Occupational Therapy Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	W4266 STATE ROAD 29, OWEN, WI, 54460-8932
Practice Telephone / Fax	Tel: (715) 229-2172
Administrative Mailing Address	N13874 COUNTY ROAD O, WITHEE, WI, 54498-9045
Enumeration & Last Sync	Enumerated: 2007-05-18 \| CMS Record Updated: 2007-09-19
Authorized Official	JANE SCHIMDT (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

W4266 STATE ROAD 29, OWEN, WI, 54460-8932

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Plain-English Taxonomy & CMS Crosswalk (224Z00000X)

What Does Taxonomy Code 224Z00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224Z00000X translates to:
"Licensed & Credentialed Occupational Therapy Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Occupational Therapy Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLARK COUNTY HEALTH CARE CENTER)

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

Common Therapeutic Classes:

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
`224Z00000X` — Occupational Therapy Assistant Plain English: Licensed & Credentialed Occupational Therapy Assistant	State: WI \| License: `29-027` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CLARK COUNTY HEALTH CARE CENTER (NPI #1982812426)