Marinette County Health And Human Services Adapt | |
2500 Hall Ave Suite A Marinette WI 54143 | |
(715) 732-7760 | |
(715) 732-7711 |
Full Name | Marinette County Health And Human Services Adapt |
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Speciality | Clinic/Center |
Location | 2500 Hall Ave, Marinette, Wisconsin |
Authorized Official Name and Position | Robin Elsner (HEALTH & HUMAN SERVICES DIRECTOR) |
Authorized Official Contact | 7157327700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marinette County Health And Human Services Adapt 2500 Hall Ave Suite A Marinette WI 54143 Ph: (715) 732-7760 | Marinette County Health And Human Services Adapt 2500 Hall Ave Suite A Marinette WI 54143 Ph: (715) 732-7760 |
NPI Number | 1134237480 |
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Provider Enumeration Date | 08/28/2006 |
Last Update Date | 09/12/2014 |
Medicare PECOS PAC ID | 3476513177 |
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Medicare Enrollment ID | O20041018000243 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134237480 | NPI | - | NPPES |
42115400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Guy E Powers |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053415042 PECOS PAC ID: 7810954039 Enrollment ID: I20041220000149 |
Provider Name | Melissa Anne Freeman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831288174 PECOS PAC ID: 8820238231 Enrollment ID: I20130709000050 |
Provider Name | Deanna J Brown |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346265519 PECOS PAC ID: 1052546421 Enrollment ID: I20160608000105 |
Provider Name | Bryanne E Fountain |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326214230 PECOS PAC ID: 4688927304 Enrollment ID: I20181026001133 |
Provider Name | Ashley L Schutz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154823482 PECOS PAC ID: 6800203423 Enrollment ID: I20210329000097 |
Provider Name | Jessica A Mosey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588950984 PECOS PAC ID: 4789091174 Enrollment ID: I20210331002689 |
Provider Name | Todd F Drake |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396759288 PECOS PAC ID: 6507945680 Enrollment ID: I20220908000175 |
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