1245265693 NPI number — COUNTY OF DOOR-DOOR COUNTY LIBRARY

Table of content: (NPI 1245265693)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245265693 NPI number — COUNTY OF DOOR-DOOR COUNTY LIBRARY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF DOOR-DOOR COUNTY LIBRARY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DOOR COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245265693
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/26/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
421 NEBRASKA ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STURGEON BAY
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54235-2225
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-746-7155
Provider Business Mailing Address Fax Number:
920-746-2439

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
421 NEBRASKA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STURGEON BAY
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54235-2225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-746-2345
Provider Business Practice Location Address Fax Number:
920-746-2439
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KREBSBACH
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
AGENCY DIRECTOR
Authorized Official Telephone Number:
920-746-2343

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  1283 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 1283 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TB0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC1900X , with the licence number: 1283 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TM1800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 1283 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 2159 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X , with the licence number: 1283 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM1300X , with the licence number: 1283 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 42140200 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 43112400 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 43090300 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 41210100 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 43424300 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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