Provider Demographics
NPI:1871640573
Name:COUNTY OF ASHLAND
Entity Type:Organization
Organization Name:COUNTY OF ASHLAND
Other - Org Name:ASHLAND COUNTY HEALTH & HUMAN SERVICES DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SNILSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-682-7004
Mailing Address - Street 1:630 SANBORN AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-3537
Mailing Address - Country:US
Mailing Address - Phone:715-682-7004
Mailing Address - Fax:715-382-7924
Practice Address - Street 1:630 SANBORN AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-3537
Practice Address - Country:US
Practice Address - Phone:715-682-7004
Practice Address - Fax:715-382-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32979771Medicaid
WI41521700Medicaid
WI41852700Medicaid
WI44008200Medicaid
WI43081800Medicaid
WI41218000Medicaid
WI43424000Medicaid
WI32979771Medicaid