Organization Name: | POLK COUNTY HEALTH DEPT |
NPI Number: | 1780800144 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GRETCHEN SAMPSON (DIRECTOR) |
Mailing Address: | 100 Polk County Plz Suite 180 Balsam Lake |
State: | WI US |
Postal Code: | 548109071 |
Phone Number: | 7154858500 |
Fax Number: | 7154858501 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 92 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |