COUNTY OF LA CROSSE
Skilled Nursing Facility
La Crosse, Wisconsin
Provider NPI: 1366445793
Organization Information:Organization Name: COUNTY OF LA CROSSE
Practice Location:
3501 PARK LANE DR LA CROSSE, WI 54601 US
Tel: 608-789-4800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3501 PARK LANE DR LA CROSSE, WI 54601 US
Tel: 608-789-4800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WI | 2657 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
20128700 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin