<Unavail>

LBN: Aspirus Extended Services, Inc.
<Unavail> is an health care organization with primary practice located at 585 Peterson Dr , Phillips WI 54555-1418. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Aspirus Extended Services, Inc. can be contacted via phone (715) 339-3113, or through Yang, Jerry via phone (715) 847-2526.

Contact Information

Primary practice address
585 Peterson Dr Phillips WI 54555-1418
Phone: (715) 339-3113
Fax: (715) 339-3117
Website:
Map and Directions
Authorized official contact:
Name: Yang, Jerry
Phone: (715) 847-2526

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1131 Wisconsin
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1841283934
LBN Legal business name Aspirus Extended Services, Inc.
DBA Doing business as <Unavail>
Authorized official Yang, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Oct 23rd, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841283934 NPPES
Wisconsin MEDICAID 20139300
Wisconsin MEDICAID 100003544

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