County of Iron

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF IRON

Practice address

502 Copper St
Suite 2
Hurley, WI 54534-1345

Phone

(715) 561-2191

Fax

(715) 561-2836

NPI assigned

Feb 12, 2007

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Zona V Wick, MS, BSN, RN

Title

Health Officer

Phone

(715) 561-2191

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Iron

  • Community/Behavioral Health Agency
  • Hurley, WI
  • NPI 1790901627

  0042254708

  Same PAC ID

Tax ID family

County of Iron3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of Iron

  • Community/Behavioral Health Agency
  • Hurley, WI
  • NPI 1174027742
  NPD tax ID
• County of Iron

  • Community/Behavioral Health Agency
  • Hurley, WI
  • NPI 1790901627
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy Olkonen, MA-CCC-SLP

  • Speech-Language Pathologist
  • Hurley, WI
  • NPI 1487085981
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1659413441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 COPPER ST",
            "address_2": "SUITE 2",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341345",
            "telephone_number": "715-561-2191",
            "fax_number": "715-561-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 COPPER ST",
            "address_2": "SUITE 2",
            "city": "HURLEY",
            "state": "WI",
            "postal_code": "545341345",
            "telephone_number": "715-561-2191",
            "fax_number": "715-561-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "ZONA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "715-561-2191",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43084600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41228600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44007500",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42010600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41852500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Wesley Bolen, MSE, LPC
• Cally Bucknell
• Laura Katherine Burt, PHARM. D.
• Center Life Health LLC
• County of Iron
• County of Iron
• Carol Ann Decker, LPN
• Greenbranch Dental L.L.C
• Paul G Hagemann, DDS
• Michele L Harma, FNP

• Public Health or Welfare Agency in Hurley, WI
• Providers in Hurley, 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 May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.