Healthcare Provider Details

I. General information

NPI: 1649399148
Provider Name (Legal Business Name): COUNTY OF ADAMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 E NORTH ST
FRIENDSHIP WI
53934
US

IV. Provider business mailing address

108 E NORTH ST
FRIENDSHIP WI
53934
US

V. Phone/Fax

Practice location:
  • Phone: 608-339-4513
  • Fax: 608-339-4560
Mailing address:
  • Phone: 608-339-4513
  • Fax: 608-339-4560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number52D0676265
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CODY PRZYBYLSKI
Title or Position: PUBLIC HEALTH OFFICER
Credential:
Phone: 608-339-4376