Healthcare Provider Details
I. General information
NPI: 1902297740
Provider Name (Legal Business Name): ONEIDA COUNTY HEALTH DEPART
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/16/2015
Last Update Date: 02/16/2015
Certification Date:
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
- Phone: 715-369-6111
- Fax: 715-369-2553
- Phone: 715-369-6111
- Fax: 715-369-2553
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0050X |
| Taxonomy | Non-Surgical Family Planning Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LINDA
K
CONLON
Title or Position: DIRECTOR
Credential: RN, MPH
Phone: 715-369-6111