Provider Demographics
NPI:1265607923
Name:COUNTY OF WASHBURN
Entity type:Organization
Organization Name:COUNTY OF WASHBURN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BENIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-468-4747
Mailing Address - Street 1:222 OAK ST
Mailing Address - Street 2:
Mailing Address - City:SPOONER
Mailing Address - State:WI
Mailing Address - Zip Code:54801-1440
Mailing Address - Country:US
Mailing Address - Phone:715-635-4400
Mailing Address - Fax:715-635-4400
Practice Address - Street 1:222 OAK ST
Practice Address - Street 2:
Practice Address - City:SPOONER
Practice Address - State:WI
Practice Address - Zip Code:54801-1440
Practice Address - Country:US
Practice Address - Phone:715-635-4400
Practice Address - Fax:715-635-4400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare