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NPI Code Detail

MEDICARE: JUNEAU COUNTY

MEDICARE: JUNEAU COUNTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487691697
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUNEAU COUNTY
Provider Business Mailing Address
First Line : 200 HICKORY STREET
Second Line : JUNEAU COUNTY HUMAN SERVICES
City : MAUSTON
State : WI
Zip : 53948-1320
Country : US
Telephone Number : 608-847-2400
Fax Number : 608-847-9599
Provider Business Practice Location Address
First Line : 200 HICKORY STREET
Second Line : JUNEAU COUNTY HUMAN SERVICES
City : MAUSTON
State : WI
Zip : 53948-1320
Country : US
Telephone Number : 608-847-2400
Fax Number : 608-847-9599
Authorized Official
Title or Position : DIRECTOR
Name : DAWN BUCHHOLZ
Credential :
Telephone Number : 608-847-2400
Provider Enumeration Date : 05/31/2006
Last Update Date : 04/16/2024

Similar Medicare Providers

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1821159138 — LINDA A. DIRAIMONDO M.D.
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1538706833 — KATIE A WERREN LPC, SAC-IT
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1104422831 — KATHERINE ANDREWS MS, LPC
Practice Location Address:
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1457211393 — MACKENZIE K SULLIVAN RN
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Directions to “JUNEAU COUNTY ” Practice Location

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