Organization
WASHBURN COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T MCMAHON (DIRECTOR)
(715) 468-4747
Entity
Organization
Contact information
Practice address
110 4TH AVE W, SHELL LAKE, ID 54871
(715) 468-4747
(715) 468-4753
Mailing address
PO BOX 250, SHELL LAKE, WI 54871-0250
(715) 468-4747
(715) 468-4753
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
43076900
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43076900
—
WI
05
—
43104700
—
WI
05
—
43430000
—
WI
05
—
44009900
—
WI
Enumeration date
06/06/2007
Last updated
08/22/2020
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