NPIMap

Door County Dept of Community Programs

Organization Active NPI Community/Behavioral Health Agency · Sturgeon Bay, WI

NPI 1295974285 · NPPES record last updated Feb 13, 2009

Key facts

NPI
1295974285
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
1283 (WI)
Legal business name
DOOR COUNTY DEPT OF COMMUNITY PROGRAMS
Practice address
421 Nebraska St
Sturgeon Bay, WI 54235-2225
Phone
(920) 746-2345
Fax
(920) 746-2439
NPI assigned
Feb 13, 2009
Organization subpart
No

Authorized official

Name
Mr. Joseph Anthony Krebsbach, ICS, CSAC
Title
Program Director
Phone
(920) 746-2345

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Door County Public Heal (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1283 WI Yes

Addresses

Primary practice location

421 Nebraska St
Sturgeon Bay, WI 54235-2225

Mailing address

421 Nebraska Street
Sturgeon Bay, WI 54235-2249
Phone (920) 746-2345

Other identifiers

IdentifierTypeStateIssuer
32976600MedicaidWI

Other providers in Sturgeon Bay, WI

All providers in Sturgeon Bay, WI · Community/Behavioral Health Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.