Polk County Dept Of Administration

LBN: Polk County Dept Of Administration
Polk County Dept Of Administration is an health care organization with primary practice located at 100 Polk County Plz Ste 180 , Balsam Lake WI 54810-8009. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Home Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Polk County Dept Of Administration can be contacted via phone (715) 485-8400, or through Gingras, Kathleen via phone (715) 485-8506.

Contact Information

Primary practice address
100 Polk County Plz Ste 180 Balsam Lake WI 54810-8009
Fax: (715) 485-8490
Website:
Authorized official contact:
Name: Gingras, Kathleen

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 2222 Wisconsin
Agencies / Home Health 251E00000X Wisconsin
Agencies / Community/Behavioral Health 251S00000X 2204 Wisconsin

Profile Details

NPI number 1083837298
LBN Legal business name Polk County Dept Of Administration
DBA Doing business as
Authorized official Gingras, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 8th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083837298 NPPES
Wisconsin MEDICAID 42218400
Wisconsin MEDICAID 43074800
Wisconsin Other 84 81085
Wisconsin MEDICAID 43430200
Wisconsin Other 31876
Wisconsin MEDICAID 43102400
Wisconsin Other 37F35PO
Wisconsin Other 66373

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