Organization Name: | WINNEBAGO COUNTY |
NPI Number: | 1154318657 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS GIERYN (DIRECTOR/HEALTH OFFICER) |
Mailing Address: | 725 Butler Ave Winnebago |
State: | WI US |
Postal Code: | 549850068 |
Phone Number: | 9202323000 |
Fax Number: | 9203033023 |
NPI Enumeration Date: | 09/30/2005 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |