Northwest Passage - Northwest Passage Ii in Spooner - Residential Treatment Facility, Emotionally Disturbed Children
Northwest Passage - Northwest Passage Ii - NPI 1285759035
Northwest Passage - Northwest Passage Ii is a Residential Treatment Facility, Emotionally Disturbed Children in Spooner, Wisconsin. Northwest Passage - Northwest Passage Ii practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Northwest Passage - Northwest Passage Ii is 1285759035. The last update date is 2020-08-22.
Northwest Passage - Northwest Passage Ii's current location address is 1661 Hams Rd, Spooner, Wisconsin. You can contact this provider via phone number 7156357204. The mailing address for Northwest Passage - Northwest Passage Ii is 1661 Hams Rd, Spooner, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Passage - Northwest Passage Ii |
|---|---|
| Address | 1661 Hams Rd, Spooner, Wisconsin |
| Phone Number | 7156357204 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Elliot Mark |
| Telephone Number | 7153274402 |
NPI Number Detail
| NPI Number | 1285759035 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1661 Hams Rd |
|---|---|
| City | Spooner |
| State | Wisconsin (WI) |
| Post Code | 548019138 |
| Phone Number | 7156357204 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 1004165 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, 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 |
|---|---|---|---|
| 43015500 | WI | -- | |
| 3181NO | MN | BCBS OF MN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Northwest Passage - Northwest Passage Ii by the Centers for Medicare & Medicaid Services?
The Northwest Passage - Northwest Passage Ii has been issued the NPI (National Provider Identifier) 1285759035 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Northwest Passage - Northwest Passage Ii's facilities are situated?
The facilities of Northwest Passage - Northwest Passage Ii are physically located at the following address: 1661 Hams Rd, Spooner, WI, 548019138.
What is the area of specialization for Northwest Passage - Northwest Passage Ii, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northwest Passage - Northwest Passage Ii is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
On what date did the Northwest Passage - Northwest Passage Ii receive its 1285759035 assignment from the Centers for Medicare & Medicaid Services?
The Northwest Passage - Northwest Passage Ii was assigned its 1285759035 by the Centers for Medicare & Medicaid Services on 2007-03-20.
As of what date was the information regarding Northwest Passage - Northwest Passage Ii, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northwest Passage - Northwest Passage Ii, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.