Healthcare Provider Details

I. General information

NPI: 1417061680
Provider Name (Legal Business Name): COUNTY OF BARRON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 E MONROE AVE RM 338
BARRON WI
54812-1480
US

IV. Provider business mailing address

335 E MONROE AVE RM 338
BARRON WI
54812-1480
US

V. Phone/Fax

Practice location:
  • Phone: 715-537-6251
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STACEY FROLIK
Title or Position: DIRECTOR
Credential:
Phone: 715-537-6251