Willow Ridge Healthcare Facilities, Llc in Amery - Skilled Nursing Facility
Willow Ridge Healthcare Facilities, Llc - NPI 1275689903
Willow Ridge Healthcare Facilities, Llc is a Skilled Nursing Facility in Amery, Wisconsin. Willow Ridge Healthcare Facilities, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Willow Ridge Healthcare Facilities, Llc is 1275689903. The last update date is 2020-08-22.
Willow Ridge Healthcare Facilities, Llc's current location address is 400 Deronda St, Amery, Wisconsin. You can contact this provider via phone number 7152688171. The mailing address for Willow Ridge Healthcare Facilities, Llc is 400 Deronda St, Amery, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Willow Ridge Healthcare Facilities, Llc |
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Address | 400 Deronda St, Amery, Wisconsin |
Phone Number | 7152688171 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | VICE PRESI |
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Authorized Official Name | Marsh M. Dawn |
Telephone Number | 6082252516 |
NPI Number Detail
NPI Number | 1275689903 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 400 Deronda St |
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City | Amery |
State | Wisconsin (WI) |
Post Code | 540011404 |
Phone Number | 7152688171 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 2642 |
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 |
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20186400 | WI | -- |
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What is the unique provider identifier assigned to Willow Ridge Healthcare Facilities, Llc?
The Willow Ridge Healthcare Facilities, Llc has been issued the NPI (National Provider Identifier) 1275689903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Willow Ridge Healthcare Facilities, Llc located?
The Willow Ridge Healthcare Facilities, Llc is located at 400 Deronda St, Amery, WI 540011404.
What is Willow Ridge Healthcare Facilities, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Willow Ridge Healthcare Facilities, Llc is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275689903 to Willow Ridge Healthcare Facilities, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1275689903 to Willow Ridge Healthcare Facilities, Llc on 2007-01-26.
As of what date were the Willow Ridge Healthcare Facilities, Llc's details last updated?
The information pertaining to the Willow Ridge Healthcare Facilities, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.