Hetzel Care Center, Inc
Organization Active NPI Skilled Nursing Facility · Bloomer, WI
NPI 1104813005 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104813005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 2807 (WI)
- Legal business name
- HETZEL CARE CENTER, INC
- Practice address
- 1840 Priddy St
Bloomer, WI 54724-1546 - Phone
- (715) 568-2503
- Fax
- (715) 568-2518
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
Authorized official
- Name
- Gordon Hetzel
- Title
- President
- Phone
- (715) 568-2503
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2807 | WI | Yes |
Addresses
Primary practice location
1840 Priddy St
Bloomer, WI 54724-1546
Mailing address
1840 Priddy St
Bloomer, WI 54724-1546
Phone (715) 568-2503
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20162200 | Medicaid | WI |
Other providers in Bloomer, WI
- Herman Advanced Family Eyecare LLC
- Brian James Herman
- Karen Lee Herman
- Hetzel Care Center Inc
- Hetzel Care Center Inc
- Hetzel Care Nursing & Rehabilitation Center LLC
- Heyde Health System Inc
- Heyde Health System, Inc
- Benjamin Michael Hierlmeier
- Amy Sue Hilbert
All providers in Bloomer, WI · Skilled Nursing Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.