Marquette County DHS

Organization Active NPI Early Intervention Provider Agency · Montello, WI

NPI 1780924696 · NPPES record last updated Mar 1, 2013

Key facts

NPI
1780924696
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
MARQUETTE COUNTY DHS
Practice address
428 Underwood Ave
Montello, WI 53949-9248
Phone
(608) 297-3124
NPI assigned
Mar 1, 2013
Organization subpart
No

Authorized official

Name
Mandy Stanley
Title
Director
Phone
(608) 297-3124

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
County of Marquette (5 organizations share this tax ID)

Locations

428 Underwood Ave
Montello, WI 53949
Phone (608) 297-3124

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

428 Underwood Ave
Montello, WI 53949-9248

Mailing address

428 Underwood Ave
PO Box 405
Montello, WI 53949-9248
Phone (608) 297-3124

Other providers in Montello, WI

All providers in Montello, WI · Early Intervention Provider Agency in Wisconsin

Sources for this page

Verify at the official NPI Registry.