Provider Demographics
NPI:1891924510
Name:BARRON COUNTY HEALTH AND HUMAN SERVICES
Entity Type:Organization
Organization Name:BARRON COUNTY HEALTH AND HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:VRUWINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-537-6398
Mailing Address - Street 1:330 EAST LASALLE AVENUE
Mailing Address - Street 2:ROOM 338
Mailing Address - City:BARRON
Mailing Address - State:WI
Mailing Address - Zip Code:54812
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:330 EAST LASALLE AVENUE
Practice Address - Street 2:ROOM 338
Practice Address - City:BARRON
Practice Address - State:WI
Practice Address - Zip Code:54812
Practice Address - Country:US
Practice Address - Phone:715-537-5691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44002000Medicaid