1326235524 NPI number — WAUSHARA COUNTY GOVERNMENT

Table of content: FRANCIS XAVIER OCONNOR MD (NPI 1306819867)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326235524 NPI number — WAUSHARA COUNTY GOVERNMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WAUSHARA COUNTY GOVERNMENT
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:
WAUSHARA CO DEPT OF 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:
1326235524
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 W ELM ST
Provider Second Line Business Mailing Address:
PO BOX 1230
Provider Business Mailing Address City Name:
WAUTOMA
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54982
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-787-6551
Provider Business Mailing Address Fax Number:
920-787-0465

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
205 W ELM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAUTOMA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54982
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-787-6600
Provider Business Practice Location Address Fax Number:
920-787-0465
Provider Enumeration Date:
10/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STANDKE
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
ACCOUNT CLERK
Authorized Official Telephone Number:
920-787-6551

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 41762000 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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