The Wisconsin Veterans Home At King

LBN: State Of Wisconsin
The Wisconsin Veterans Home At King is an health care organization with primary practice located at N2665 County Road Qq , King WI 54946. 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. State Of Wisconsin can be contacted via phone (715) 258-5586, or through Servatius, Tammy via phone (715) 258-5586.

Contact Information

Primary practice address
N2665 County Road Qq King WI 54946
Fax: (715) 258-1677
Website:
Authorized official contact:
Name: Servatius, Tammy

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2485 Wisconsin

Profile Details

NPI number 1366439986
LBN Legal business name State Of Wisconsin
DBA Doing business as The Wisconsin Veterans Home At King
Authorized official Servatius, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 27th, 2019 - about 3 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 1366439986 NPPES
Wisconsin MEDICAID 20135000

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