Organization · NPI-2

Waukesha County

Clinic/Center, Primary Care · Waukesha, WI

NPI number1346364585
StatusActive
Last updated in NPPESNov 10, 2025

Details

NPI
1346364585
Entity type
Organization (NPI-2)
Legal business name
Waukesha County
Organization subpart
No
Enumeration date
Mar 16, 2007
Certification date
Nov 10, 2025
Last updated
Nov 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care41861400WIYes
251B00000X Case Management82059WI
251K00000X Public Health or Welfare000082059WI

Other names

  • Waukesha County (Public Health) (Other Name)

Practice location

514 Riverview Ave
Waukesha, WI 53188-3632

Phone 262-896-8430 · Fax 262-896-8387

Mailing address

514 Riverview Ave
Attn: Fiscal Department
Waukesha, WI 53188-3632

Phone 262-548-7212 · Fax 262-970-6696

Authorized official

David M Derosier
Credentialing Specialist
2625488431

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