Healthcare Provider Details

I. General information

NPI: 1225175128
Provider Name (Legal Business Name): ONEIDA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W KEENAN ST
RHINELANDER WI
54501-3365
US

IV. Provider business mailing address

100 W KEENAN ST
RHINELANDER WI
54501-3365
US

V. Phone/Fax

Practice location:
  • Phone: 715-369-6111
  • Fax: 715-369-6112
Mailing address:
  • Phone: 715-369-6111
  • Fax: 715-369-6112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA KAY CONLON
Title or Position: DIRECTOR
Credential: RN BAN
Phone: 715-369-6105