Provider Demographics
NPI:1033685391
Name:COUNTY OF WAUPACA
Entity Type:Organization
Organization Name:COUNTY OF WAUPACA
Other - Org Name:WAUPACA COUNTY DEPT OF HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-258-6300
Mailing Address - Street 1:WAUPACA COUNTY DHS
Mailing Address - Street 2:811 HARDING ST
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-2012
Mailing Address - Country:US
Mailing Address - Phone:715-258-6300
Mailing Address - Fax:715-258-6409
Practice Address - Street 1:WAUPACA COUNTY DHS
Practice Address - Street 2:811 HARDING ST
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-2012
Practice Address - Country:US
Practice Address - Phone:715-258-6300
Practice Address - Fax:715-258-6409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42132900Medicaid
WI100060687Medicaid