St Michael'S Lutheran Home

LBN: St Michael'S Evangelical Lutheran Home For The Aged
St Michael'S Lutheran Home is an health care organization with primary practice located at 270 North Street , Fountain City WI 54629. 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. St Michael'S Evangelical Lutheran Home For The Aged can be contacted via phone (608) 687-7721, or through Dixon, Dean H via phone (608) 687-7721.

Contact Information

Primary practice address
270 North Street Fountain City WI 54629
Phone: (608) 687-7721
Fax: (608) 687-4006
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Dean H NHA
Phone: (608) 687-7721

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 49 Wisconsin

Profile Details

NPI number 1144293762
LBN Legal business name St Michael'S Evangelical Lutheran Home For The Aged
DBA Doing business as St Michael'S Lutheran Home
Authorized official Dixon, Dean H NHA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1144293762 NPPES
Wisconsin MEDICAID 20156400

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