| Winnebago Dept Of Human Svc | |
|
220 Washington Ave Oshkosh WI 54901-5030 | |
| (920) 236-1193 | |
| Not Available |
| Full Name | Winnebago Dept Of Human Svc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 220 Washington Ave, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Ellen Shute (DEPUTY DIRECTOR) |
| Authorized Official Contact | 9202361193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnebago Dept Of Human Svc Po Box 2187 Oshkosh WI 54903-2187 Ph: (920) 236-1193 | Winnebago Dept Of Human Svc 220 Washington Ave Oshkosh WI 54901-5030 Ph: (920) 236-1193 |
| NPI Number | 1437322658 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437322658 | NPI | - | NPPES |
| 41760700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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