VA Health Care System (644)

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

159500-30 Issued in WI

Legal business name

VA HEALTH CARE SYSTEM (644)

Practice address

911 Skyview Ave
Little Chute, WI 54140-2627

Phone

(920) 915-1499

NPI assigned

Mar 9, 2010

Last updated

Mar 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel T Fale, RN

Title

Registered Nurse

Phone

(920) 915-1499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1083937759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SKYVIEW AVE",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541402627",
            "telephone_number": "920-915-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SKYVIEW AVE",
            "city": "LITTLE CHUTE",
            "state": "WI",
            "postal_code": "541402627",
            "telephone_number": "920-915-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HEALTH CARE SYSTEM (644)",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "FALE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "920-915-1499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "159500-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew James Scheske, D.D.S.
• Spencer Schultz, PHARMD
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• Jennifer Verhagen, RN
• Meena P Vir, MD
• Walgreen Co (Walgreens #09682)
• Tammy E Weyenberg, APNP

• Nursing Facility/Intermediate Care Facility in Little Chute, WI
• Providers in Little Chute, WI by specialty
• Nursing Facility/Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.