| County Of Walworth | |
|
1910 County Road Nn Elkhorn WI 53121-4454 | |
| (262) 741-3200 | |
| (262) 741-3217 |
| Full Name | County Of Walworth |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1910 County Road Nn, Elkhorn, Wisconsin |
| Authorized Official Name and Position | Carlo Jon Nevicosi (DIRECTOR) |
| Authorized Official Contact | 2627413200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Walworth Po Box 1005 Elkhorn WI 53121 Ph: (262) 741-3200 | County Of Walworth 1910 County Road Nn Elkhorn WI 53121-4454 Ph: (262) 741-3200 |
| NPI Number | 1548348311 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548348311 | NPI | - | NPPES |
| 41852800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
County Of Walworth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217 |