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Organization

COUNTY OF LA CROSSE

Active
Other names
La Crosse County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
AUDRA MARTINE (DIRECTOR)
(608) 792-3713
Entity
Organization

Contact information

Practice address
300 4TH ST N, FL 2, LA CROSSE, WI 54601-3228
(608) 785-9850
(608) 785-9846
Mailing address
300 4TH ST N, FL 2, LA CROSSE, WI 54601-3228
(608) 785-9850
(608) 785-9846

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
44000400
WI
261QP2300X
Primary Care Clinic/Center
Primary
41853100
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41520000
WI
05
41853100
WI
05
43082800
WI
05
43103500
WI
05
44000400
WI
Enumeration date
06/22/2005
Last updated
04/26/2023
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