Provider Demographics
NPI:1053595595
Name:TOWN OF LAPOINTE
Entity type:Organization
Organization Name:TOWN OF LAPOINTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADM. ASSISTANT/DEPUTY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-747-6913
Mailing Address - Street 1:240 BIG BAY RD
Mailing Address - Street 2:P.O. BOX 270
Mailing Address - City:LA POINTE
Mailing Address - State:WI
Mailing Address - Zip Code:54850-0270
Mailing Address - Country:US
Mailing Address - Phone:715-747-6913
Mailing Address - Fax:715-747-6654
Practice Address - Street 1:240 BIG BAY RD
Practice Address - Street 2:
Practice Address - City:LA POINTE
Practice Address - State:WI
Practice Address - Zip Code:54850-0270
Practice Address - Country:US
Practice Address - Phone:715-747-6913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1730282-00OtherMINNESOTA HEALTH CARE PRO
CA6528736OtherCALIFORNIA MEDICAID
WI41356900Medicaid
WI000081670OtherMEDICARE