Tomah Health Care Center

LBN: Ccg Tomah Inc.
Tomah Health Care Center is an health care organization with primary practice located at 1505 Butts Ave , Tomah WI 54660-2405. 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 Tomah Inc. can be contacted via phone (608) 372-3241, or through Yoder, Keith via phone (614) 416-0600.

Contact Information

Primary practice address
1505 Butts Ave Tomah WI 54660-2405
Phone: (608) 372-3241
Fax: (608) 372-3250
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 2825 Wisconsin

Profile Details

NPI number 1194723205
LBN Legal business name Ccg Tomah Inc.
DBA Doing business as Tomah Health Care Center
Authorized official Yoder, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 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 1194723205 NPPES
Wisconsin MEDICAID 20192600
Wisconsin Other 621810991030

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