Provider Demographics
NPI:1366484974
Name:RUSK COUNTY
Entity Type:Organization
Organization Name:RUSK COUNTY
Other - Org Name:RUSK COUNTY HEALTH & HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HOME CARE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ATWOOD-THORSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:715-532-2215
Mailing Address - Street 1:311 MINER AVE EAST
Mailing Address - Street 2:SUITE C220
Mailing Address - City:LADYSMITH
Mailing Address - State:WI
Mailing Address - Zip Code:54848-2827
Mailing Address - Country:US
Mailing Address - Phone:715-532-2299
Mailing Address - Fax:715-532-2217
Practice Address - Street 1:311 MINER AVE EAST
Practice Address - Street 2:SUITE C220
Practice Address - City:LADYSMITH
Practice Address - State:WI
Practice Address - Zip Code:54848-2827
Practice Address - Country:US
Practice Address - Phone:715-532-2299
Practice Address - Fax:715-532-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41523300Medicaid
WI41523300Medicaid