Organization
JACKSON COUNTY PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BOWEN (DIRECTOR)
(715) 284-4301
Entity
Organization
Contact information
Practice address
420 HWY 54 WEST, BLACK RIVER FALLS, WI 54615-0457
(715) 284-4301
(715) 284-7713
Mailing address
PO BOX 457, 420 HWY 54 WEST, BLACK RIVER FALLS, WI 54615-0457
(715) 284-4301
(715) 284-7713
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41858500
—
WI
Enumeration date
09/14/2009
Last updated
09/14/2009
Update your record
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