Clover Way Rcac

LBN: County Of Trempealeau
Clover Way Rcac is an health care organization with primary practice located at 36125 E End Rd , Independence WI 54747-8080. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, which is considered as the primary health care specialty. County Of Trempealeau can be contacted via phone (715) 985-2270, or through Deetz, Jerry via phone (715) 538-4312.

Contact Information

Primary practice address
36125 E End Rd Independence WI 54747-8080
Phone: (715) 985-2270
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deetz, Jerry N.H.A.
Phone: (715) 538-4312

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 12483 Wisconsin

Profile Details

NPI number 1952541013
LBN Legal business name County Of Trempealeau
DBA Doing business as Clover Way Rcac
Authorized official Deetz, Jerry N.H.A.
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 3rd, 2009
Last updated Apr 15th, 2021 - about 5 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 1952541013 NPPES
Wisconsin MEDICAID 12483

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