Walworth County Department Of Health And Human Services | |
1910 County Road Nn Elkhorn WI 53121-4454 | |
(262) 741-3200 | |
(262) 741-3217 |
Full Name | Walworth County Department Of Health And Human Services |
---|---|
Speciality | Community/behavioral Health |
Location | 1910 County Road Nn, Elkhorn, Wisconsin |
Authorized Official Name and Position | Carlo Jon Nevicosi (DIRECTOR) |
Authorized Official Contact | 2627413200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Walworth County Department Of Health And Human Services Po Box 1005 Elkhorn WI 53121-1005 Ph: (262) 741-3200 | Walworth County Department Of Health And Human Services 1910 County Road Nn Elkhorn WI 53121-4454 Ph: (262) 741-3200 |
NPI Number | 1114447455 |
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Provider Enumeration Date | 06/27/2017 |
Last Update Date | 08/28/2023 |
Certification Date | 08/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114447455 | NPI | - | NPPES |
100071262 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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