State Of Wisconsin in Madison - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
State Of Wisconsin - NPI 1588703078
State Of Wisconsin is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Madison, Wisconsin. State Of Wisconsin practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for State Of Wisconsin is 1588703078. The last update date is 2010-10-21.
State Of Wisconsin's current location address is 317 Knutson Dr, Madison, Wisconsin. You can contact this provider via phone number 6083011946 and fax number 6083011871. The mailing address for State Of Wisconsin is 317 Knutson Dr, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Wisconsin |
|---|---|
| Address | 317 Knutson Dr, Madison, Wisconsin |
| Phone Number | 6083011946 |
| Fax Number | 6083011871 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CENTER DIR |
|---|---|
| Authorized Official Name | Holling Janice |
| Telephone Number | 6083019229 |
NPI Number Detail
| NPI Number | 1588703078 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2010-10-21 |
Provider Mailing Address Detail
| Address | 317 Knutson Dr |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537041133 |
| Phone Number | 6083011946 |
| Fax Number | 6083011871 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 1000-042 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5106770 | WI | NCPDP |
Post Comment/ Review Below
What is the unique identification code assigned to State Of Wisconsin by the Centers for Medicare & Medicaid Services?
The State Of Wisconsin has been issued the NPI (National Provider Identifier) 1588703078. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where State Of Wisconsin's facilities are geographically located?
The facilities of State Of Wisconsin are physically situated at the following location: 317 Knutson Dr, Madison, WI, 537041133.
What is State Of Wisconsin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for State Of Wisconsin is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588703078 to State Of Wisconsin?
The Centers for Medicare & Medicaid Services assigned the 1588703078 to State Of Wisconsin on 2007-02-05.
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 2010-10-21.