Provider Demographics
NPI:1114188075
Name:CITY OF OSHKOSH
Entity Type:Organization
Organization Name:CITY OF OSHKOSH
Other - Org Name:OSHKOSH SENIORS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-236-5031
Mailing Address - Street 1:215 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54901-4747
Mailing Address - Country:US
Mailing Address - Phone:920-236-5030
Mailing Address - Fax:920-236-5186
Practice Address - Street 1:200 N CAMPBELL RD
Practice Address - Street 2:
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54902-3430
Practice Address - Country:US
Practice Address - Phone:920-232-5300
Practice Address - Fax:920-232-5307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare