Crossroads Care Center Of East Fond Du Lac

LBN: Ccc Of East Fond Du Lac
Crossroads Care Center Of East Fond Du Lac is an health care organization with primary practice located at 265 S National Ave , Fond Du Lac WI 54935-5334. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ccc Of East Fond Du Lac can be contacted via phone (847) 983-4860, or through Merzel, David via phone (847) 983-4860.

Contact Information

Primary practice address
265 S National Ave Fond Du Lac WI 54935-5334
Phone: (847) 983-4860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Merzel, David
Phone: (847) 983-4860

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1972089399
LBN Legal business name Ccc Of East Fond Du Lac
DBA Doing business as Crossroads Care Center Of East Fond Du Lac
Authorized official Merzel, David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2018
Last updated Jul 18th, 2018 - about 8 years ago

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 1972089399 NPPES
Wisconsin MEDICAID 00000

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