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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Northwest Passage Ltd

Emotionally Disturbed Childrens' Residential Treatment Facility in Frederic, WI · enumerated 2007 · authorized official Jackie Maurer, Business Office Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235266065

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Registry record

Entity type Organization (Type 2)
Legal business name Northwest Passage Ltd
Parent organization Northwest Passage
Practice address 203 United Way Drive, Frederic, WI, 54837
Fax (715) 327-4470
Enumeration date Feb 28, 2007
Last updated in NPPES Mar 27, 2012

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 560014 (WI) Primary

Authorized official

Name Jackie Maurer
Title Business Office Supervisor

Other identifiers

Identifier Type State Issuer
43015400 Medicaid WI -
NONE Other WI HEALTH PARTNERS
3181NO Other MN BCBS OF MN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-03-27. Verify at npiregistry.cms.hhs.gov.
Where is Northwest Passage Ltd located?
The practice location on file with NPPES is in Frederic, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-27.