Provider Demographics
NPI:1336434406
Name:PEPIN COUNTY
Entity Type:Organization
Organization Name:PEPIN COUNTY
Other - Org Name:PEPIN COUNTY HUMAN SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOUINARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-672-8941
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:DURAND
Mailing Address - State:WI
Mailing Address - Zip Code:54736-0039
Mailing Address - Country:US
Mailing Address - Phone:715-672-8941
Mailing Address - Fax:715-672-8593
Practice Address - Street 1:740 7TH AVE W
Practice Address - Street 2:
Practice Address - City:DURAND
Practice Address - State:WI
Practice Address - Zip Code:54736-1628
Practice Address - Country:US
Practice Address - Phone:715-672-8941
Practice Address - Fax:715-672-8593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency