State Of Wisconsin in Chippewa Falls - Intermediate Care Facility, Intellectual Disabilities
State Of Wisconsin - NPI 1235225616
State Of Wisconsin is a Intermediate Care Facility, Intellectual Disabilities in Chippewa Falls, Wisconsin. State Of Wisconsin practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of Wisconsin is 1235225616. The last update date is 2021-10-19.
State Of Wisconsin's current location address is 2820 East Park Avenue, Chippewa Falls, Wisconsin. You can contact this provider via phone number 7157237957. The mailing address for State Of Wisconsin is 2820 East Park Avenue, Chippewa Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Wisconsin |
|---|---|
| Address | 2820 East Park Avenue, Chippewa Falls, Wisconsin |
| Phone Number | 7157237957 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Neurohr T. Jacqueline |
| Credentials | NHA |
| Telephone Number | 7157235542 |
NPI Number Detail
| NPI Number | 1235225616 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-10-19 |
Provider Mailing Address Detail
| Address | 2820 East Park Avenue |
|---|---|
| City | Chippewa Falls |
| State | Wisconsin (WI) |
| Post Code | 547290340 |
| Phone Number | 7157237957 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2753 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21050200 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Wisconsin by the Centers for Medicare & Medicaid Services (CMS)?
The State Of Wisconsin has been assigned the NPI (National Provider Identifier) 1235225616. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the State Of Wisconsin located?
The State Of Wisconsin is located at 2820 East Park Avenue, Chippewa Falls, WI 547290340.
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 Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.
When did the State Of Wisconsin receive its 1235225616?
The State Of Wisconsin was issued its 1235225616 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
When was the information related to State Of Wisconsin most recently updated or refreshed?
The details pertaining to the State Of Wisconsin, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-19.
NPI Number: 1568465623
Address: 3841 Green Hills Village Dr Ste 200, Nashville, TN
NPI Number: 1407859234
Address: P.o. Box 33679, Los Angeles, CA