Covered Entity Contact Information. To direct communications to Covered Entity’s staff, the Business Associate shall initiate contact as indicated herein. The Covered Entity reserves the right to make changes to the contact information by giving written notice to the Business Associate. Contact Name: Title: Company: Address: Phone: Fax:
Covered Entity Contact Information. To direct communications to above referenced Covered Entity’s staff, the Business Associate shall initiate contact as indicated herein. The Covered Entity reserves the right to make changes to the contact information by giving written notice to the Business Associate. Fond du Lac County Xxxxxxxx Xxxxxxx Director/Department of Social Services 00 Xxxxxxx Xxxxxx Fond du Lac, WI 54935 920-929-3433 Fond du Lac County HIPAA Privacy & Security Officer/Director of Administration 000 X. Xxxx Street Fond du Lac, WI 54935 920-929-3156
Covered Entity Contact Information. To direct communications to above referenced Covered Entity’s staff, the Business Associate shall initiate contact as indicated herein. The Covered Entity reserves the right to make changes to the contact information by giving written notice to the Business Associate. Waukesha County Security Officer Xxxxx Xxxxx Dept. of Admin. Info. Tech. 000-000-0000 xxxxxx@xxxxxxxxxxxxxx.xxx 000 X Xxxxxxxx Xxxx CG53 Waukesha , WI 53188 Waukesha County Privacy Officer Xxxx Xxxxxx Corporation Counsel 262-548-7432 xxxxxxx@xxxxxxxxxxxxxx.xxx 000 X Xxxxxxxx Xxxx AC 330 Waukesha, WI 53188 Waukesha County Human Resources Manager Xxxxx Xxxxxxx 000-000-0000 xxxxxxxx@xxxxxxxxxxxxxx.xxx 000 X. Xxxxxxxx Blvd. AC160 Waukesha WI 53188 If at any time PHI received from, or created or received by Business Associate on behalf of Covered Entity, is provided or made available by Business Associate to any of its Subcontractors, then Business Associate shall require each such Subcontractor to agree in writing to the same restrictions and conditions on the use or disclosure of PHI as are imposed on Business Associate by this Agreement and applicable law, including the HIPAA Rules. Business Associate shall ensure that all such Subcontractors that create, receive, maintain, or transmit PHI will implement reasonable and appropriate safeguards to protect such PHI.
Covered Entity Contact Information. To direct communications to above-referenced Covered Entity’s staff, the Business Associate shall initiate contact as indicated herein. The Covered Entity reserves the right to make changes to the contact information by giving written notice to the Business Associate. DHS Program Manager: Xxxxxx Xxxxxxx Department of Health Services 0 X. Xxxxxx Street Room B158 Madison, WI 53707 DHS Privacy Officer c/o Office of Legal Counsel Department of Health Services 0 X. Xxxxxx Street Madison, WI 53707 608-266-5484 DHS Security Officer Department of Health Services 0 X. Xxxxxx Street Madison, WI 53707 608-261-8310 In accordance with 45 CFR 164.502(e)(1) and 164.308(b), if applicable, the Business Associate shall ensure that any subcontractors that create, receive, maintain, or transmit Protected Health Information on behalf of the Business Associate agree to the same restrictions, conditions, and requirements that apply to the Business Associate with respect to such information.
Covered Entity Contact Information. To direct communications to above-referenced Covered Entity’s staff, the Business Associate shall initiate contact as indicated herein. The Covered Entity reserves the right to make changes to the contact information by giving written notice to the Business Associate. DHS Program Manager: DHS Privacy Officer: c/o Office of Legal Counsel Department of Health Services 0 X. Xxxxxx Street Madison, WI 53707 608-266-7957
Covered Entity Contact Information. To direct communications to above-referenced Covered Entity’s staff, the Business Associate shall initiate contact as indicated herein. The Covered Entity reserves the right to make changes to the contact information by giving written notice to the Business Associate. Covered Entity Program Manager: DHS Privacy Officer c/o Office of Legal Counsel Department of Health Services 0 X. Xxxxxx Street Madison, WI 53707 000-000-0000 DHS Security Officer Department of Health Services 0 X. Xxxxxx Street Madison, WI 53707 000-000-0000 5. USE OR DISCLOSURE OF PROTECTED HEALTH INFORMATION BY SUBCONTRACTORS OF THE BUSINESS ASSOCIATE In accordance with 45 CFR 164.502(e)(1) and 164.308(b), if applicable, the Business Associate shall ensure that any subcontractors that create, receive, maintain, or transmit Protected Health Information on behalf of the Business Associate agree to the same restrictions, conditions, and requirements that apply to the Business Associate with respect to such information.
Covered Entity Contact Information. To direct communications to above-referenced Covered Entity’s staff, the Business Associate shall initiate contact as indicated herein. The Covered Entity reserves the right to make changes to the contact information by giving written notice to the Business Associate. Covered Entity Compliance Officer Xxxxx Xxxxx 000 X. Xxxx Xxxxxx Xxxxxxx, XX 00000 000-000-0000 Dept. Privacy Officer Xxxx Xxxxx 000 X. Xxxx Xxxxxx Xxxxxxx, XX 00000 000-000-0000 Covered Entity Security Officer Xxxx Xxxxxxx 000 X. Xxxx Xxxxxx Xxxxxxx, XX 00000 000-000-0000
