MEDICARE: COUNTY OF SAWYER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency
3	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679566327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF SAWYER

Provider Business Mailing Address
First Line	:	10610 MAIN ST
Second Line	:	SUITE 224
City	:	HAYWARD
State	:	WI
Zip	:	54843-6595
Country	:	US
Telephone Number	:	715-634-4874
Fax Number	:	715-634-3580

Provider Business Practice Location Address
First Line	:	10610 MAIN ST
Second Line	:	SUITE 224
City	:	HAYWARD
State	:	WI
Zip	:	54843-6595
Country	:	US
Telephone Number	:	715-634-4874
Fax Number	:	715-634-3580

Authorized Official
Title or Position	:	AGENCY DIRECTOR
Name	:	PAUL GRAHOVAC
Credential	:
Telephone Number	:	715-638-3334

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	04/28/2015

Similar Medicare Providers

1013116250 — PATRICIA ANNE HARRINGTON RN
Practice Location Address:

10610 MAIN ST
HAYWARD, WI
54843-6595

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1053585695 — SUSAN KAY PEARSON
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1417251851 — MRS. KATHLEEN ANN KEPHART
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1144188996 — REALIGN AND RECLAMATION, LLC
Practice Location Address:

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1649262478 — DR. TIMOTHY J FREDERIKSEN OD
Practice Location Address:

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1912992827 — MEDICAL SERVICES, INC
Practice Location Address:

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Directions to “COUNTY OF SAWYER ” Practice Location

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