Healthcare Provider Details

I. General information

NPI: 1508011479
Provider Name (Legal Business Name): COUNTY OF GREEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2008
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N3152 HIGHWAY 81
MONROE WI
53566-9397
US

IV. Provider business mailing address

N3152 HIGHWAY 81
MONROE WI
53566-9397
US

V. Phone/Fax

Practice location:
  • Phone: 608-328-9390
  • Fax: 608-325-7575
Mailing address:
  • Phone: 608-328-9390
  • Fax: 608-325-7575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: VALERIE REICHLING
Title or Position: FISCAL SPECIALIST
Credential:
Phone: 608-328-9390