Healthcare Provider Details

I. General information

NPI: 1659413441
Provider Name (Legal Business Name): COUNTY OF IRON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 COPPER ST SUITE 2
HURLEY WI
54534-1345
US

IV. Provider business mailing address

502 COPPER ST SUITE 2
HURLEY WI
54534-1345
US

V. Phone/Fax

Practice location:
  • Phone: 715-561-2191
  • Fax: 715-561-2836
Mailing address:
  • Phone: 715-561-2191
  • Fax: 715-561-2836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ZONA V WICK
Title or Position: HEALTH OFFICER
Credential: MS, BSN, RN
Phone: 715-561-2191