National Provider Identifier Database

COUNTY OF GRANT
Hospice Care, Community Based


Contact Information

COUNTY OF GRANT
111 S JEFFERSON ST FL 2
LANCASTER, WI53813-1672
Phone: 608-723-6416
Fax: 608-723-6501
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for COUNTY OF GRANT

NPI Number 1841359536
Legal business name
LBN
COUNTY OF GRANT
Authorized official JEFFERY KINDRAI - (DIRECTOR, HEALTH OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/08/2006
Last updated 11/13/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 516
  • WI Medicaid: 43183900
  • WI Other: 550678 DEAN HEALTH PLAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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