Western Wisconsin Oral Health Initiative

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WESTERN WISCONSIN ORAL HEALTH INITIATIVE

Practice address

1300 Badger St
Health Science Center
La Crosse, WI 54601-1502

Phone

(608) 789-6101

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Barbara L Jerue, RDH

Title

Program Head

Phone

(608) 785-9843

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1265605265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 6TH ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BADGER ST",
            "address_2": "HEALTH SCIENCE CENTER",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546011502",
            "telephone_number": "608-789-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WISCONSIN ORAL HEALTH INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "JERUE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROGRAM HEAD",
        "authorized_official_telephone_number": "608-785-9843",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah West
• Mary E West, CNM
• Joshua Westbrook, M.D.
• Susan M Wester, MD
• Western Wisconsin Cares
• Max Richard Wetzel, MD
• Samuel Otto Wetzel, OD
• Talia T Wetzel, DPT
• Kinsey J Weyer, SLP
• Christopher J Whalen, M.D.

• Dental Clinic/Center in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.