Provider Demographics
NPI:1861822322
Name:COUNTY OF CHIPPEWA
Entity Type:Organization
Organization Name:COUNTY OF CHIPPEWA
Other - Org Name:CHIPPEWA COUNTY DEPT. OF PUBLIC HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR/HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DURCH
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, MPH
Authorized Official - Phone:715-726-7906
Mailing Address - Street 1:711 N BRIDGE ST RM 121
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-1845
Mailing Address - Country:US
Mailing Address - Phone:715-726-7900
Mailing Address - Fax:715-726-7910
Practice Address - Street 1:711 N BRIDGE ST RM 121
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-1845
Practice Address - Country:US
Practice Address - Phone:715-726-7900
Practice Address - Fax:715-726-7910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No251K00000XAgenciesPublic Health or Welfare