Fond Du Lac County Dss

LBN: Fond Du Lac County Dss
Fond Du Lac County Dss is an health care organization with primary practice located at 87 Vincent St , Fond Du Lac WI 54935-4510. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Fond Du Lac County Dss can be contacted via phone (920) 929-3400, or through Gumz, Margery M via phone (920) 929-3969.

Contact Information

Primary practice address
87 Vincent St Fond Du Lac WI 54935-4510
Phone: (920) 929-3400
Fax: (920) 929-3447
Website:
Map and Directions
Authorized official contact:
Name: Gumz, Margery M
Phone: (920) 929-3969

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1053622514
LBN Legal business name Fond Du Lac County Dss
DBA Doing business as
Authorized official Gumz, Margery M
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 29th, 2010
Last updated Jun 29th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053622514 NPPES
Wisconsin MEDICAID 43103400

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