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Contact Information

COUNTY OF WAUSHARA
380 S TOWNLINE RD
WAUTOMA, WI54982-6900
 Phone: 920-787-6550
 Fax: 920-787-0421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for COUNTY OF WAUSHARA

NPI Number 1417120478
LBN Legal business name COUNTY OF WAUSHARA
Authorized official JEN GONZALES - (ACCOUNT CLERK)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2008
Last updated 11/07/2024 - More than a year ago
Identifiers
WI License # 1980
WI Medicaid 00421406
WI Medicaid 41223200
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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