Provider Demographics
NPI:1225175128
Name:ONEIDA COUNTY
Entity Type:Organization
Organization Name:ONEIDA COUNTY
Other - Org Name:ONEIDA COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:CONLON
Authorized Official - Suffix:
Authorized Official - Credentials:RN BAN
Authorized Official - Phone:715-369-6105
Mailing Address - Street 1:100 W KEENAN ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-3365
Mailing Address - Country:US
Mailing Address - Phone:715-369-6111
Mailing Address - Fax:715-369-6112
Practice Address - Street 1:100 W KEENAN ST
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3365
Practice Address - Country:US
Practice Address - Phone:715-369-6111
Practice Address - Fax:715-369-6112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental MedicineGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42010000Medicaid
WI=========OtherTAX ID
43831600Medicare UPIN