Clark County

LBN: Clark County
Clark County is an health care organization with primary practice located at W4266 State Rd. 29 , Owen WI 54460. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Clark County can be contacted via phone (715) 229-2172, or through Schmitz, Jane via phone (715) 229-2172.

Contact Information

Primary practice address
W4266 State Rd. 29 Owen WI 54460
Phone: (715) 229-2172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schmitz, Jane
Phone: (715) 229-2172

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2387 Wisconsin
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 3014 Wisconsin

Profile Details

NPI number 1497812697
LBN Legal business name Clark County
DBA Doing business as
Authorized official Schmitz, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Sep 28th, 2011 - about 15 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 1497812697 NPPES
Wisconsin MEDICAID 21052400
Wisconsin MEDICAID 41011500
Wisconsin MEDICAID 40415200
Wisconsin MEDICAID 20150100

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