Provider Demographics
NPI:1679566327
Name:COUNTY OF SAWYER
Entity Type:Organization
Organization Name:COUNTY OF SAWYER
Other - Org Name:SAWYER COUNTY HEALTH & HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAHOVAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-638-3334
Mailing Address - Street 1:10610 MAIN ST
Mailing Address - Street 2:SUITE 224
Mailing Address - City:HAYWARD
Mailing Address - State:WI
Mailing Address - Zip Code:54843-6595
Mailing Address - Country:US
Mailing Address - Phone:715-634-4874
Mailing Address - Fax:715-634-3580
Practice Address - Street 1:10610 MAIN ST
Practice Address - Street 2:SUITE 224
Practice Address - City:HAYWARD
Practice Address - State:WI
Practice Address - Zip Code:54843-6595
Practice Address - Country:US
Practice Address - Phone:715-634-4874
Practice Address - Fax:715-634-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-29
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI42552100Medicaid
WI43075400Medicaid
WI43084500Medicaid
WI41521800Medicaid
WI41852200Medicaid
WI42115700Medicaid
WI43103000Medicaid
WI42009300Medicaid
WI44000300Medicaid
WI600000110Medicaid
WI43426200Medicaid
WI43103000Medicaid
WI41521800Medicaid