Provider Demographics
NPI:1013182757
Name:MARQUETTE COUNTY DHS
Entity Type:Organization
Organization Name:MARQUETTE COUNTY DHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-297-3124
Mailing Address - Street 1:428 UNDERWOOD AVE
Mailing Address - Street 2:PO BOX 405
Mailing Address - City:MONTELLO
Mailing Address - State:WI
Mailing Address - Zip Code:53949
Mailing Address - Country:US
Mailing Address - Phone:608-297-3124
Mailing Address - Fax:608-297-8718
Practice Address - Street 1:428 UNDERWOOD AVE
Practice Address - Street 2:
Practice Address - City:MONTELLO
Practice Address - State:WI
Practice Address - Zip Code:53949
Practice Address - Country:US
Practice Address - Phone:608-297-3124
Practice Address - Fax:608-297-8718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43100900Medicaid
WI32977271Medicaid
WI32977000Medicaid
WI43073900Medicaid
WI43422000Medicaid
WI43073800Medicaid
WI43422100Medicaid