Healthcare Provider Details

I. General information

NPI: 1003801838
Provider Name (Legal Business Name): COUNTY OF DUNN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 US HIGHWAY 12 E
MENOMONIE WI
54751-3044
US

IV. Provider business mailing address

3001 US HIGHWAY 12 E
MENOMONIE WI
54751-3044
US

V. Phone/Fax

Practice location:
  • Phone: 715-232-2388
  • Fax: 715-232-1132
Mailing address:
  • Phone: 715-231-4586
  • Fax: 715-232-1132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JANE HANSEN
Title or Position: ACCOUNTING MANAGER
Credential:
Phone: 715-231-4586