Tomah Healthcare Center

LBN: Orion Tomah Llc
Tomah Healthcare 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. Orion Tomah Llc can be contacted via phone (608) 372-3241, or through Lockhart, Dennis via phone (614) 416-0600.

Contact Information

Primary practice address
1505 Butts Ave Tomah WI 54660-2405
Phone: (608) 372-3241
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lockhart, Dennis
Phone: (614) 416-0600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2825 Wisconsin

Profile Details

NPI number 1083892186
LBN Legal business name Orion Tomah Llc
DBA Doing business as Tomah Healthcare Center
Authorized official Lockhart, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Feb 13th, 2014 - about 12 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 1083892186 NPPES
Wisconsin Other 621810991030 BCBS PROVIDER CODE
Wisconsin MEDICAID 20200300 BCBS PROVIDER CODE

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