Prescott Nursing And Rehabilitation Community

LBN: Ccg Prescott, Inc
Prescott Nursing And Rehabilitation Community is an health care organization with primary practice located at 1505 Orrin Rd , Prescott WI 54021-1074. 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. Ccg Prescott, Inc can be contacted via phone (715) 262-5661, or through Yoder, Keith via phone (614) 416-0600.

Contact Information

Primary practice address
1505 Orrin Rd Prescott WI 54021-1074
Phone: (715) 262-5661
Fax: (715) 262-4899
Website:
Map and Directions
Authorized official contact:
Name: Yoder, Keith
Phone: (614) 416-0600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3249 Wisconsin

Profile Details

NPI number 1922090521
LBN Legal business name Ccg Prescott, Inc
DBA Doing business as Prescott Nursing And Rehabilitation Community
Authorized official Yoder, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2005
Last updated Jan 23rd, 2008 - about 18 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 1922090521 NPPES
Wisconsin MEDICAID 20195300

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