| County Of Waushara | |
|
380 S Townline Rd Wautoma WI 54982-6900 | |
| (920) 787-6550 | |
| (920) 787-0421 |
| Full Name | County Of Waushara |
|---|---|
| Speciality | Counselor |
| Location | 380 S Townline Rd, Wautoma, Wisconsin |
| Authorized Official Name and Position | Kim Krueger (FINANCIAL ASSISTANT) |
| Authorized Official Contact | 9207876550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Waushara 380 S Townline Rd Wautoma WI 54982-6900 Ph: (920) 787-6550 | County Of Waushara 380 S Townline Rd Wautoma WI 54982-6900 Ph: (920) 787-6550 |
| NPI Number | 1841463213 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841463213 | NPI | - | NPPES |
| 23110691 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Waushara County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Park Street, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
County Of Waushara Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 920-787-6550 Fax: 920-787-0421 | |
County Of Waushara Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 380 S Townline Rd, Wautoma, WI 54982 Phone: 207-876-5509 |