Polk County Home Care

LBN: Polk County-Dept Of Administration
Polk County Home Care is an health care organization with primary practice located at 100 Polk County Plz Suite 180, Balsam Lake WI 54810-9071. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Polk County-Dept Of Administration can be contacted via phone (715) 485-8500, or through Sampson, Gretchen via phone (715) 485-8500.

Contact Information

Primary practice address
100 Polk County Plz Suite 180 Balsam Lake WI 54810-9071
Phone: (715) 485-8500
Fax: (715) 485-8501
Website:
Map and Directions
Authorized official contact:
Name: Sampson, Gretchen RN, MPH
Phone: (715) 485-8500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 92 Wisconsin

Profile Details

NPI number 1871719237
LBN Legal business name Polk County-Dept Of Administration
DBA Doing business as Polk County Home Care
Authorized official Sampson, Gretchen RN, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Oct 21st, 2011 - about 15 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 1871719237 NPPES
Wisconsin MEDICAID 41520900

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