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COUNTY OF SHAWANO

Ambulatory Health Care Facilities Clinic/Center Public Health, State or Local

Provider NPI: 1174716385

Organization Information:
Organization Name:  COUNTY OF SHAWANO
Organization is not Subpart
Authorized Official:  REBECCA  HOVARTER  HEALTH OFFICER  715-526-4805

Practice Location:
311 N MAIN ST RM 7  SHAWANO, WI 54166-2145 US
Tel: 715-526-4808  Fax: 715-524-5792

Business Mailing Address:
311 N MAIN ST RM 7  SHAWANO, WI 54166-2145 US
Tel: 715-526-4808  Fax: 715-524-5792

NPI Information:
NPI: 1174716385
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP0905XAmbulatory Health Care Facilities
Clinic/Center
Public Health, State or Local

Other Provider Identifiers:

IssuerNumberStateType
41851200WI05



American Medical Association 2012 taxonomy code information

Code: 261QP0905X

Type:

Classification:



Definition:



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