Ccg - Frederic in Frederic - Skilled Nursing Facility
Ccg - Frederic - NPI 1366440430
Ccg - Frederic is a Skilled Nursing Facility in Frederic, Wisconsin. Ccg - Frederic practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ccg - Frederic is 1366440430. The last update date is 2008-04-20.
Ccg - Frederic's current location address is 205 United Way, Frederic, Wisconsin. You can contact this provider via phone number 7153274297 and fax number 7153274950. The mailing address for Ccg - Frederic is 205 United Way, Frederic, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ccg - Frederic |
|---|---|
| Address | 205 United Way, Frederic, Wisconsin |
| Phone Number | 7153274297 |
| Fax Number | 7153274950 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Yoder Keith |
| Telephone Number | 6144160600 |
NPI Number Detail
| NPI Number | 1366440430 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 205 United Way |
|---|---|
| City | Frederic |
| State | Wisconsin (WI) |
| Post Code | 5483789380 |
| Phone Number | 7153274297 |
| Fax Number | 7153274950 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 3086 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20191100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ccg - Frederic by the Centers for Medicare & Medicaid Services?
The Ccg - Frederic has been issued the NPI (National Provider Identifier) 1366440430 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ccg - Frederic's facilities are situated?
The facilities of Ccg - Frederic are physically located at the following address: 205 United Way, Frederic, WI, 5483789380.
What is the Ccg - Frederic's area of specialization and corresponding taxonomy classification?
The Ccg - Frederic's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did Ccg - Frederic receive its 1366440430 assignment from the Centers for Medicare & Medicaid Services?
The Ccg - Frederic was assigned its 1366440430 on 2005-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Ccg - Frederic most recently updated or revised?
The details related to Ccg - Frederic, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-20.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA