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NPI Code Detail

MEDICARE: COUNTY OF DANE

MEDICARE: COUNTY OF DANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2969WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245233212
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF DANE
Provider Business Mailing Address
First Line : 1100 E VERONA AVE
Second Line :
City : VERONA
State : WI
Zip : 53593-8717
Country : US
Telephone Number : 608-845-6601
Fax Number : 608-845-1264
Provider Business Practice Location Address
First Line : 1100 E VERONA AVE
Second Line :
City : VERONA
State : WI
Zip : 53593-8717
Country : US
Telephone Number : 608-845-6601
Fax Number : 608-845-1264
Authorized Official
Title or Position : FINANCE MANAGER
Name : MR. CHONH HER
Credential :
Telephone Number : 608-845-1224
Provider Enumeration Date : 05/24/2005
Last Update Date : 05/30/2024

Similar Medicare Providers

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1821389115 — ALANE M BOUTELLE COTA
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1992205272 — ALEX NEAL PTA
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1164176178 — AMBER HARTMAN PTA
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Directions to “COUNTY OF DANE ” Practice Location

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