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NPI Code Detail

MEDICARE: COUNTY OF WOOD

MEDICARE: COUNTY OF WOOD
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
1251S00000XCommunity/Behavioral Health Agency2019WI

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 : 1902021504
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF WOOD
Provider Business Mailing Address
First Line : 111 W JACKSON ST
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54495-2702
Country : US
Telephone Number : 715-421-8845
Fax Number : 715-421-2266
Provider Business Practice Location Address
First Line : 111 W JACKSON ST
Second Line :
City : WISCONSIN RAPIDS
State : WI
Zip : 54495-2702
Country : US
Telephone Number : 715-421-8800
Fax Number : 715-421-2266
Authorized Official
Title or Position : DIRECTOR OF HUMAN SERVICES
Name : BRANDON VRUWINK
Credential :
Telephone Number : 715-421-8800
Provider Enumeration Date : 04/17/2007
Last Update Date : 10/10/2025

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1063638088 — COUNTY OF WOOD
Practice Location Address:
111 W JACKSON ST
WISCONSIN RAPIDS, WI
54495-2702
Practice Phone: 715-421-8800
Practice Fax: 715-421-2266

Directions to “COUNTY OF WOOD ” Practice Location

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