Organization Name: | VILLAGE OF MINONG |
NPI Number: | 1235346297 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE M WAGGONER (BOOKKEEPER) |
Mailing Address: | 123 5th Ave E Minong |
State: | WI US |
Postal Code: | 548599541 |
Phone Number: | 7154662322 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 11/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | 6000164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |