State Of Wisconsin in Winnebago - Psychiatric Hospital
State Of Wisconsin - NPI 1164516506
State Of Wisconsin is a Psychiatric Hospital in Winnebago, Wisconsin. State Of Wisconsin practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for State Of Wisconsin is 1164516506. The last update date is 2008-02-15.
State Of Wisconsin's current location address is 1300 South Drive, Winnebago, Wisconsin. You can contact this provider via phone number 9202354910 and fax number 9202372043. The mailing address for State Of Wisconsin is 1300 South Drive, Winnebago, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Wisconsin |
|---|---|
| Address | 1300 South Drive, Winnebago, Wisconsin |
| Phone Number | 9202354910 |
| Fax Number | 9202372043 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kneepkens G Robert |
| Telephone Number | 9202354910 |
NPI Number Detail
| NPI Number | 1164516506 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | 1300 South Drive |
|---|---|
| City | Winnebago |
| State | Wisconsin (WI) |
| Post Code | 549850009 |
| Phone Number | 9202354910 |
| Fax Number | 9202372043 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
| Licence No | 250 |
|
Definition: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10063000 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to State Of Wisconsin by the Centers for Medicare & Medicaid Services?
The State Of Wisconsin has been issued the NPI (National Provider Identifier) 1164516506. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where State Of Wisconsin is located?
The State Of Wisconsin is situated at the following address: 1300 South Drive, Winnebago, WI, 549850009.
What is State Of Wisconsin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for State Of Wisconsin is Psychiatric Hospital, and the taxonomy code that categorizes this field of expertise is 283Q00000X.
On what date did State Of Wisconsin receive its 1164516506 assignment from the Centers for Medicare & Medicaid Services?
The State Of Wisconsin was assigned its 1164516506 on 2006-10-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to State Of Wisconsin most recently updated or revised?
The information pertaining to State Of Wisconsin, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-15.