| La Crosse Coutny | |
|
300 4th St N La Crosse WI 54601-3228 | |
| (608) 785-6101 | |
| Not Available |
| Full Name | La Crosse Coutny |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 4th St N, La Crosse, Wisconsin |
| Authorized Official Name and Position | Gerald Huber (DIRECTOR) |
| Authorized Official Contact | 6087856101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Crosse Coutny 300 4th St N La Crosse WI 54601-3228 Ph: (608) 785-6101 | La Crosse Coutny 300 4th St N La Crosse WI 54601-3228 Ph: (608) 785-6101 |
| NPI Number | 1407019920 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407019920 | NPI | - | NPPES |
| 41684400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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