Provider Demographics
NPI:1417061680
Name:COUNTY OF BARRON
Entity type:Organization
Organization Name:COUNTY OF BARRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FROLIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-537-6251
Mailing Address - Street 1:335 E MONROE AVE RM 338
Mailing Address - Street 2:
Mailing Address - City:BARRON
Mailing Address - State:WI
Mailing Address - Zip Code:54812-1480
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 E MONROE AVE RM 338
Practice Address - Street 2:
Practice Address - City:BARRON
Practice Address - State:WI
Practice Address - Zip Code:54812-1480
Practice Address - Country:US
Practice Address - Phone:715-537-6251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32978771Medicaid
WI43070200Medicaid
WI43102800Medicaid
WI43430700Medicaid
WI43430300Medicaid
WI44002000Medicaid
WI42009200Medicaid
WI41280100Medicaid