Organization
PIERCE COUNTY DEPT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD L BICHA (DIRECTOR)
(715) 273-6770
Entity
Organization
Contact information
Practice address
412 W KINNE ST, ELLSWORTH, WI 54011-0670
(715) 273-6770
(715) 273-6862
Mailing address
PO BOX 670, ELLSWORTH, WI 54011-0670
(715) 273-6770
(715) 273-6862
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1737
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120213
HEALTHPARTNERS
MN
01
—
91118PI
BCBS MENTAL HEALTH
MN
01
—
9128PI
BCBS ALCOHOL AND DRUG
MN
01
—
92046
PREFERRED ONE
MN
Enumeration date
11/15/2006
Last updated
08/22/2020
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