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Contact Information

WAUKESHA COUNTY
514 RIVERVIEW AVE
WAUKESHA, WI53188-3632
 Phone: 262-548-7399
 Fax: 262-970-6696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for WAUKESHA COUNTY

NPI Number 1740403146
LBN Legal business name WAUKESHA COUNTY
Authorized official DAVID DEROSIER - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 11/10/2025 - About 7 months ago
Identifiers
WI License # 10063300
WI License # 32976100
WI License # 42138400
WI License # 4307700
WI License # 80259
WI Medicaid 10063300
WI Medicaid 10063326
WI Medicaid 32816300
WI Medicaid 32976100
WI Medicaid 41760800
WI Medicaid 41861400
WI Medicaid 42138400
WI Medicaid 43077000
WI Medicaid 43422400
WV Medicaid 41760800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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