Village of Hales Corners

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

VILLAGE OF HALES CORNERS

Practice address

5885 S 116TH St
Hales Corners, WI 53130-1707

Phone

(414) 529-6155

Fax

(414) 529-6157

NPI assigned

Jun 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra J Persak, R.N.

Title

Health Officer

Phone

(414) 529-6155

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1013112945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 S 116TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301707",
            "telephone_number": "414-529-6155",
            "fax_number": "414-529-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 S 116TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301707",
            "telephone_number": "414-529-6155",
            "fax_number": "414-529-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF HALES CORNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "PERSAK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "414-529-6155",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Tralongo, OTR
• Susan Tubic
• Cassandra Ann Van Kleunen, D.D.S.
• Sandra M Vandomelen, SAC-IT
• Jordan Vandyck, DPT
• Village of Hales Corners
• Walgreen Co
• Mark Wanezek
• David Mark Weis, D.D.S.
• Mary T Wells, M.D.

• Public Health or Welfare Agency in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.