MARATHON COUNTY NPI 1306968391

NPI Information

NPI: 1306968391
Provider Name: MARATHON COUNTY
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 52D2242652

Address:
400 E THOMAS ST
WAUSAU, WI
ZIP 54403
Phone: (715) 261-7500
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MARATHON COUNTY is a public health or welfare in Wausau, WI. MARATHON COUNTY NPI is 1306968391. The provider is registered as an organization entity type.

The provider's business location address is:

400 E THOMAS ST
WAUSAU, WI
ZIP 54403-498
Phone: (715) 261-7500
Fax: (715) 261-7510

The provider's authorized official is Vicki L. Tylka .
The authorized official title is Director and has the following contact phone number (715) 261-7500.

The CLIA number assigned to this NPI record is 52D2242652 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	43112300	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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