State Of Wisconsin in Union Grove - Skilled Nursing Facility
State Of Wisconsin - NPI 1225152861
State Of Wisconsin is a Skilled Nursing Facility in Union Grove, Wisconsin. State Of Wisconsin practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for State Of Wisconsin is 1225152861. The last update date is 2017-05-17.
State Of Wisconsin's current location address is 21425g Spring St, Union Grove, Wisconsin. You can contact this provider via phone number 2628786700 and fax number 2628786758. The mailing address for State Of Wisconsin is 21425g Spring St, Union Grove, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Wisconsin |
|---|---|
| Address | 21425g Spring St, Union Grove, Wisconsin |
| Phone Number | 2628786700 |
| Fax Number | 2628786758 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COMMANDANT |
|---|---|
| Authorized Official Name | Seibert Susan |
| Telephone Number | 2628786724 |
NPI Number Detail
| NPI Number | 1225152861 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2017-05-17 |
Provider Mailing Address Detail
| Address | 21425g Spring St |
|---|---|
| City | Union Grove |
| State | Wisconsin (WI) |
| Post Code | 531829707 |
| Phone Number | 2628786700 |
| Fax Number | 2628786758 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 5024 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20197800 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to State Of Wisconsin?
The State Of Wisconsin has been issued the NPI (National Provider Identifier) 1225152861 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where State Of Wisconsin's facilities are situated?
The facilities of State Of Wisconsin are physically located at the following address: 21425G Spring St, Union Grove, WI, 531829707.
What is State Of Wisconsin's area of expertise and its corresponding taxonomy classification?
The State Of Wisconsin's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did State Of Wisconsin receive its 1225152861 assignment from the Centers for Medicare & Medicaid Services?
The State Of Wisconsin was assigned its 1225152861 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding State Of Wisconsin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to State Of Wisconsin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-05-17.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC