County Of Shawano in Shawano - Intermediate Care Facility, Intellectual Disabilities
County Of Shawano - NPI 1720088495
County Of Shawano is a Intermediate Care Facility, Intellectual Disabilities in Shawano, Wisconsin. County Of Shawano practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for County Of Shawano is 1720088495. The last update date is 2007-09-10.
County Of Shawano's current location address is N4231 State Highway 22, Shawano, Wisconsin. You can contact this provider via phone number 7155263158 and fax number 7155266823. The mailing address for County Of Shawano is N4231 State Highway 22, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | County Of Shawano |
|---|---|
| Address | N4231 State Highway 22, Shawano, Wisconsin |
| Phone Number | 7155263158 |
| Fax Number | 7155266823 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTANT |
|---|---|
| Authorized Official Name | Kessen R Debbra |
| Telephone Number | 7155263158 |
NPI Number Detail
| NPI Number | 1720088495 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | N4231 State Highway 22 |
|---|---|
| City | Shawano |
| State | Wisconsin (WI) |
| Post Code | 541666130 |
| Phone Number | 7155263158 |
| Fax Number | 7155266823 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2994 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21051100 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to County Of Shawano by the Centers for Medicare & Medicaid Services (CMS)?
The County Of Shawano has been assigned the NPI (National Provider Identifier) 1720088495. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where County Of Shawano is physically located?
The County Of Shawano is physically situated at the following address: N4231 State Highway 22, Shawano, WI, 541666130.
What is the County Of Shawano's specialty and taxonomy code?
The County Of Shawano's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
When was the County Of Shawano's 1720088495 issued?
The County Of Shawano's 1720088495 was issued on 2005-07-26.
As of what date were the County Of Shawano's details last updated?
The information pertaining to the County Of Shawano, including its address, specialty, and other details, was most recently updated on 2007-09-10.
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