Provider Demographics
NPI:1114056322
Name:CITY OF OAK CREEK
Entity Type:Organization
Organization Name:CITY OF OAK CREEK
Other - Org Name:OAK CREEK HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBERENA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:414-766-7950
Mailing Address - Street 1:8040 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-2313
Mailing Address - Country:US
Mailing Address - Phone:414-766-7950
Mailing Address - Fax:414-766-7977
Practice Address - Street 1:8040 S 6TH ST
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-2313
Practice Address - Country:US
Practice Address - Phone:414-766-7950
Practice Address - Fax:414-766-7977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI82960Medicare ID - Type UnspecifiedPROVIDER NUMBER