Healthcare Provider Details
I. General information
NPI: 1053588822
Provider Name (Legal Business Name): COUNTY OF RICHLAND
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2008
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
221 W SEMINARY ST
RICHLAND CENTER WI
53581-2358
US
IV. Provider business mailing address
221 W SEMINARY ST
RICHLAND CENTER WI
53581-2358
US
V. Phone/Fax
- Phone: 608-647-8821
- Fax: 608-647-6611
- Phone: 608-647-8821
- Fax: 608-647-6611
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XP0200X |
| Taxonomy | Pediatric Occupational Therapist |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235500000X |
| Taxonomy | Speech/Language/Hearing Specialist/Technologist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MRS.
BARBARA
J
SCOTT
Title or Position: MIS DIRECTOR
Credential: RN
Phone: 608-649-5922