NPIMap

Organization Active NPI

Fond Du Lac County

Doing business as Health Care Center

  • Skilled Nursing Facility
  • Fond Du Lac, WI
National Provider Identifier
1003951468
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2383 Issued in WI
Legal business name
FOND DU LAC COUNTY
Doing business as
Health Care Center
Practice address
459 East First Street
Fond Du Lac, WI 54935-4505
Phone
(920) 929-3500
Fax
(920) 929-7046
NPI assigned
Feb 21, 2007
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve T Handrich
Title
Administrator
Phone
(920) 929-3309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2383 WI Primary

Addresses

Primary practice location

459 East First Street
Fond Du Lac, WI 54935-4505

Mailing address

459 East First Street
Fond Du Lac, WI 54935-4505
Phone (920) 929-3500

Other identifiers 1

IdentifierTypeStateIssuer
20161200MedicaidWI

Other names 1

  • Health Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fond Du Lac County DCP Crisis Intervention14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

459 E 1st St
Fond du Lac, WI 54935
Phone (920) 929-3500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1003951468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 EAST FIRST STREET",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354505",
            "telephone_number": "920-929-3500",
            "fax_number": "920-929-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 EAST FIRST STREET",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354505",
            "telephone_number": "920-929-3500",
            "fax_number": "920-929-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOND DU LAC COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "HANDRICH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-929-3309"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20161200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.