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Organization

POLK COUNTY HEALTH DEPT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRETCHEN SAMPSON RN, MPH (DIRECTOR)
(715) 485-8500
Entity
Organization

Contact information

Practice address
100 POLK COUNTY PLZ, SUITE 180, BALSAM LAKE, WI 54810-9071
(715) 485-8500
(715) 485-8501
Mailing address
100 POLK COUNTY PLZ, SUITE 180, BALSAM LAKE, WI 54810-9071
(715) 485-8500
(715) 485-8501

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
92
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42008500
WI
Enumeration date
04/17/2007
Last updated
08/22/2020
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