Organization
COUNTY OF GREEN LAKE
Active
Other names
Green Lake County DHHS
Organization subpart
No
Provider details
NPI number
Authorized official
JASON N JEROME (DIRECTOR)
(920) 294-4070
Entity
Organization
Contact information
Practice address
222 LEFFERT ST, BERLIN, WI 54923-2166
(920) 361-3484
(920) 361-1195
Mailing address
PO BOX 69, BERLIN, WI 54923-0069
(920) 361-3484
(920) 361-1195
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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