Provider Demographics
NPI:1659413441
Name:COUNTY OF IRON
Entity Type:Organization
Organization Name:COUNTY OF IRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZONA
Authorized Official - Middle Name:V
Authorized Official - Last Name:WICK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BSN, RN
Authorized Official - Phone:715-561-2191
Mailing Address - Street 1:502 COPPER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HURLEY
Mailing Address - State:WI
Mailing Address - Zip Code:54534-1345
Mailing Address - Country:US
Mailing Address - Phone:715-561-2191
Mailing Address - Fax:715-561-2836
Practice Address - Street 1:502 COPPER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:HURLEY
Practice Address - State:WI
Practice Address - Zip Code:54534-1345
Practice Address - Country:US
Practice Address - Phone:715-561-2191
Practice Address - Fax:715-561-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41228600Medicaid
WI42010600Medicaid
WI41852500Medicaid
WI44007500Medicaid
WI43084600Medicaid
WI000082445Medicare ID - Type Unspecified