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Organization

COUNTY OF PIERCE

Active
Parent organization
COUNTY OF PIERCE
Other names
Pierce County Public Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF PIERCE
Authorized official
SUE GALOFF (DIRECTOR)
(715) 273-6755
Entity
Organization

Contact information

Practice address
412 W KINNE ST, ELLSWORTH, WI 54011-9223
(715) 273-6755
(715) 273-6854
Mailing address
412 W KINNE ST, P.O. BOX 238, ELLSWORTH, WI 54011-9230
(715) 273-6755
(715) 273-6854

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38394800
DENTAL SERVICES
WI
01
42552200
B3 SPEECH
WI
01
43089800
B3 TCM
WI
01
44001100
PRENATAL CARE COORDINATIO
WI
Enumeration date
11/22/2005
Last updated
11/28/2011
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